Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $7,513.00	Facility		$425.00	$2,128.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $324.83 / $536.80	Professional		$260.82	$324.83	$536.80
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 $286.87 / $363.11 / $524.99	Professional		$286.87	$363.11	$524.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $301.77 / $301.77	Facility		$80.00	$301.77	$301.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.61 / $525.61 / $525.61	Facility		$525.61	$525.61	$525.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.88 / $400.95 / $627.24	Professional		$303.88	$400.95	$627.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.36 / $11,500.00 / $12,000.00	Facility		$1,480.36	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.48 / $2,606.23 / $3,049.88	Professional		$2,290.48	$2,606.23	$3,049.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $357.13 / $590.80	Facility		$279.68	$357.13	$590.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $488.18 / $622.42	Professional		$401.01	$488.18	$622.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $607.58 / $1,226.15	Professional		$359.52	$607.58	$1,226.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $358.65 / $627.24	Facility		$279.68	$358.65	$627.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.05 / $424.10 / $659.03	Professional		$315.05	$424.10	$659.03
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 $257.32 / $343.44 / $535.05	Professional		$257.32	$343.44	$535.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $334.45 / $471.14	Professional		$297.60	$334.45	$471.14