Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.14 / $3,445.00 / $10,893.00	Facility		$263.14	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $263.14 / $419.04	Professional		$170.29	$263.14	$419.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.71 / $175.80	Facility		$80.00	$173.71	$175.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $316.74 / $510.39	Professional		$202.06	$316.74	$510.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $961.69	Facility		$55.00	$55.00	$961.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.40 / $2,382.71 / $2,834.78	Professional		$1,366.40	$2,382.71	$2,834.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.17 / $286.95 / $450.35	Facility		$189.17	$286.95	$450.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $346.56 / $578.54	Professional		$242.22	$346.56	$578.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $257.00 / $257.00	Professional		$257.00	$257.00	$257.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.19 / $288.14 / $451.04	Facility		$189.19	$288.14	$451.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.01 / $336.03 / $571.61	Professional		$204.01	$336.03	$571.61
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 $228.19 / $315.33 / $490.32	Professional		$228.19	$315.33	$490.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.62 / $310.39 / $438.20	Professional		$276.62	$310.39	$438.20