Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.60 / $2,032.32 / $5,695.60	Facility		$765.60	$2,032.32	$5,695.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.60 / $812.00 / $1,392.00	Professional		$649.60	$812.00	$1,392.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.80 / $3,712.00 / $6,264.00	Facility		$1,310.80	$3,712.00	$6,264.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $614.79 / $1,160.00	Professional		$5.00	$614.79	$1,160.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,160.00 / $1,160.00	Facility		$80.00	$1,160.00	$1,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.71 / $2,662.44 / $5,168.18	Facility		$772.71	$2,662.44	$5,168.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $1,107.65 / $1,975.85	Professional		$587.91	$1,107.65	$1,975.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $5,510.00 / $5,510.00	Facility		$2,310.00	$5,510.00	$5,510.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $8,700.00	Professional		$5,800.00	$5,800.00	$8,700.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.60 / $1,160.00 / $1,740.00	Facility		$707.60	$1,160.00	$1,740.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,160.00 / $1,450.00	Professional		$1,102.00	$1,160.00	$1,450.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $1,392.00 / $2,610.00	Professional		$754.00	$1,392.00	$2,610.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.93 / $1,218.00 / $4,177.74	Facility		$787.93	$1,218.00	$4,177.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $1,392.00 / $1,975.85	Professional		$614.79	$1,392.00	$1,975.85
United Facility/Professional Facility Modifier Low / Median / High Price $417.60 / $487.20 / $1,160.00	Facility		$417.60	$487.20	$1,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $742.40	Professional		$487.20	$487.20	$742.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $1,160.00 / $1,566.00	Professional		$452.40	$1,160.00	$1,566.00