Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.02 / $2,500.00 / $7,495.00	Facility		$375.02	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $234.32 / $345.26	Professional		$134.22	$234.32	$345.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.22 / $604.62 / $1,349.07	Facility		$355.22	$604.62	$1,349.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $257.01 / $471.02	Professional		$123.45	$257.01	$471.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $116.54 / $116.54	Facility		$116.54	$116.54	$116.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.58 / $299.58 / $299.58	Facility		$299.58	$299.58	$299.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $280.62 / $469.48	Professional		$147.19	$280.62	$469.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.98 / $16,394.00 / $16,394.00	Facility		$1,064.98	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $2,323.10 / $2,323.10	Professional		$2,098.00	$2,323.10	$2,323.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $276.42 / $555.64	Facility		$142.32	$276.42	$555.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $287.50 / $457.38	Professional		$169.04	$287.50	$457.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $293.60 / $293.60	Professional		$293.60	$293.60	$293.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $280.62 / $587.42	Facility		$142.32	$280.62	$587.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $286.56 / $489.84	Professional		$152.50	$286.56	$489.84
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.26 / $296.12 / $457.90	Professional		$213.26	$296.12	$457.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $250.76 / $353.81	Professional		$223.06	$250.76	$353.81