Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.34 / $2,128.00 / $7,513.00	Facility		$456.34	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $384.17 / $628.09	Professional		$334.78	$384.17	$628.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $345.02 / $769.83	Facility		$189.76	$345.02	$769.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.58 / $431.77 / $615.74	Professional		$341.58	$431.77	$615.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $349.37 / $351.11	Facility		$80.00	$349.37	$351.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $623.15 / $623.15	Facility		$623.15	$623.15	$623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.79 / $484.69 / $735.57	Professional		$367.79	$484.69	$735.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,718.17 / $11,500.00 / $12,000.00	Facility		$1,718.17	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,696.32 / $2,971.20 / $3,472.88	Professional		$2,696.32	$2,971.20	$3,472.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.93 / $424.49 / $669.30	Facility		$335.93	$424.49	$669.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.94 / $556.11 / $709.04	Professional		$465.94	$556.11	$709.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $430.87 / $686.16 / $1,409.38	Professional		$430.87	$686.16	$1,409.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $429.53 / $710.75	Facility		$336.49	$429.53	$710.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.42 / $507.31 / $772.71	Professional		$374.42	$507.31	$772.71
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 $300.72 / $402.53 / $654.66	Professional		$300.72	$402.53	$654.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $382.13 / $536.09	Professional		$339.02	$382.13	$536.09