Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.72 / $2,124.00 / $7,513.00	Facility		$182.72	$2,124.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $123.36 / $201.03	Professional		$80.70	$123.36	$201.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $133.32 / $540.33	Facility		$78.58	$133.32	$540.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $138.51 / $198.00	Professional		$87.42	$138.51	$198.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $142.26	Facility		$79.50	$79.50	$142.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $154.09 / $231.73	Professional		$99.23	$154.09	$231.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $666.36	Facility		$55.00	$55.00	$666.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $706.24 / $1,088.00 / $1,264.05	Professional		$706.24	$1,088.00	$1,264.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $137.54 / $202.86	Facility		$90.00	$137.54	$202.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $182.76 / $263.18	Professional		$118.06	$182.76	$263.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $137.85 / $175.19	Professional		$82.93	$137.85	$175.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $138.44 / $209.33	Facility		$90.00	$138.44	$209.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $160.58 / $268.05	Professional		$103.30	$160.58	$268.05
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 $114.61 / $152.30 / $228.80	Professional		$114.61	$152.30	$228.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $140.55 / $196.77	Professional		$124.79	$140.55	$196.77