Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.30 / $3,504.00 / $12,040.00	Facility		$675.30	$3,504.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.14 / $601.07 / $945.48	Professional		$425.14	$601.07	$945.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.44 / $3,057.62 / $6,214.00	Facility		$1,666.44	$3,057.62	$6,214.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.77 / $562.79 / $900.50	Professional		$390.77	$562.79	$900.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $363.00 / $619.13	Facility		$363.00	$363.00	$619.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.76 / $617.72 / $899.88	Professional		$432.76	$617.72	$899.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,939.88 / $26,542.00 / $26,542.00	Facility		$2,939.88	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.00 / $4,946.76 / $5,110.01	Professional		$3,284.00	$4,946.76	$5,110.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $437.78 / $628.42 / $983.03	Facility		$437.78	$628.42	$983.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.86 / $682.58 / $989.25	Professional		$456.86	$682.58	$989.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $559.49 / $729.44	Professional		$402.06	$559.49	$729.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.78 / $636.16 / $1,058.44	Facility		$437.78	$636.16	$1,058.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $630.78 / $918.96	Professional		$441.10	$630.78	$918.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.14 / $591.57 / $876.93	Professional		$452.14	$591.57	$876.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.64 / $559.49 / $789.32	Professional		$496.64	$559.49	$789.32