Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $2,128.00 / $7,316.00	Facility		$139.91	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $86.51 / $136.15	Professional		$71.30	$86.51	$136.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.19 / $1,862.00 / $4,063.00	Facility		$1,174.19	$1,862.00	$4,063.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $104.03 / $167.41	Professional		$82.57	$104.03	$167.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $73.77 / $101.35	Facility		$73.77	$73.77	$101.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $110.81 / $166.79	Professional		$87.19	$110.81	$166.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.76 / $12,000.00 / $12,000.00	Facility		$436.76	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $758.33 / $831.00	Professional		$640.40	$758.33	$831.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $103.21 / $149.60	Facility		$81.15	$103.21	$149.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $143.13 / $174.02	Professional		$95.42	$143.13	$174.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $100.63 / $131.21	Professional		$80.75	$100.63	$131.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $103.21 / $152.66	Facility		$79.29	$103.21	$152.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $118.70 / $182.91	Professional		$89.45	$118.70	$182.91
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,132.00 / $2,827.00	Facility		$161.00	$1,132.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $103.22 / $154.83	Professional		$77.42	$103.22	$154.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $92.74 / $128.40	Professional		$81.44	$92.74	$128.40