Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.81 / $2,514.00 / $7,316.00	Facility		$280.81	$2,514.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $212.61 / $329.05	Professional		$149.15	$212.61	$329.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,909.28 / $3,571.09 / $6,956.67	Facility		$1,909.28	$3,571.09	$6,956.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $243.47 / $351.12	Professional		$164.37	$243.47	$351.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $170.62 / $2,176.78 / $2,176.78	Facility		$170.62	$2,176.78	$2,176.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $272.32 / $401.48	Professional		$189.86	$272.32	$401.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $904.02 / $16,394.00 / $16,394.00	Facility		$904.02	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.52 / $1,874.88 / $2,242.94	Professional		$1,285.52	$1,874.88	$2,242.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $242.73 / $353.00	Facility		$167.44	$242.73	$353.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $327.30 / $475.90	Professional		$219.96	$327.30	$475.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.65 / $249.48 / $327.70	Professional		$173.65	$249.48	$327.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $242.73 / $359.07	Facility		$167.44	$242.73	$359.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $283.20 / $462.00	Professional		$197.08	$283.20	$462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $263.45 / $389.39	Professional		$192.45	$263.45	$389.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.37 / $245.70 / $343.98	Professional		$218.37	$245.70	$343.98