Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.16 / $3,445.00 / $10,893.00	Facility		$388.16	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.21 / $445.64 / $740.68	Professional		$382.21	$445.64	$740.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.39 / $360.12 / $773.64	Facility		$198.39	$360.12	$773.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.13 / $480.32 / $673.71	Professional		$382.13	$480.32	$673.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $380.13 / $385.94	Facility		$80.00	$380.13	$385.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $707.13	Facility		$707.13	$707.13	$707.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.36 / $611.55 / $961.10	Professional		$433.36	$611.55	$961.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,449.80	Facility		$55.00	$55.00	$2,449.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,021.60 / $3,283.39 / $3,644.55	Professional		$3,021.60	$3,283.39	$3,644.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.51 / $579.03 / $926.96	Facility		$398.51	$579.03	$926.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.71 / $617.66 / $765.89	Professional		$514.71	$617.66	$765.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $465.48 / $706.34 / $939.94	Professional		$465.48	$706.34	$939.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.17 / $583.27 / $976.01	Facility		$401.17	$583.27	$976.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.79 / $638.62 / $991.03	Professional		$435.79	$638.62	$991.03
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $524.16 / $836.84	Professional		$380.38	$524.16	$836.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.85 / $403.40 / $561.41	Professional		$355.85	$403.40	$561.41