Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.61 / $2,128.00 / $7,316.00	Facility		$234.61	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $141.91 / $215.21	Professional		$116.67	$141.91	$215.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $167.32 / $326.64	Professional		$137.68	$167.32	$326.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $132.19 / $169.68	Facility		$132.19	$132.19	$169.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $189.37 / $283.24	Professional		$146.84	$189.37	$283.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $706.33 / $12,000.00 / $12,000.00	Facility		$706.33	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.88 / $1,389.28 / $1,389.28	Professional		$1,048.88	$1,389.28	$1,389.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $176.41 / $254.90	Facility		$134.75	$176.41	$254.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $232.90 / $291.12	Professional		$155.26	$232.90	$291.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $166.50 / $215.21	Professional		$142.19	$166.50	$215.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $176.41 / $271.48	Facility		$133.19	$176.41	$271.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $201.20 / $305.98	Professional		$150.07	$201.20	$305.98
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.69 / $167.58 / $254.71	Professional		$125.69	$167.58	$254.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $151.36 / $207.52	Professional		$132.51	$151.36	$207.52