Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,514.00 / $7,495.00	Facility		$569.00	$2,514.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.73 / $450.47 / $682.84	Professional		$299.73	$450.47	$682.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.36 / $508.02 / $1,127.86	Facility		$284.36	$508.02	$1,127.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $488.62 / $769.36	Professional		$312.27	$488.62	$769.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $340.26 / $340.26 / $602.42	Facility		$340.26	$340.26	$602.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $578.75 / $867.94	Professional		$392.40	$578.75	$867.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,637.48 / $16,394.00 / $16,394.00	Facility		$2,637.48	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.28 / $4,142.80 / $4,902.89	Professional		$2,773.28	$4,142.80	$4,902.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.56 / $535.13 / $781.75	Facility		$359.56	$535.13	$781.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $470.64 / $702.73 / $1,011.92	Professional		$470.64	$702.73	$1,011.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $376.49 / $583.66 / $795.91	Professional		$376.49	$583.66	$795.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.56 / $535.13 / $782.48	Facility		$359.56	$535.13	$782.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $609.41 / $1,002.23	Professional		$401.75	$609.41	$1,002.23
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.28 / $577.91 / $838.96	Professional		$433.28	$577.91	$838.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.80 / $540.34 / $756.48	Professional		$479.80	$540.34	$756.48