Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,673.00 / $7,495.00	Facility		$652.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $189.32 / $261.26	Professional		$160.66	$189.32	$261.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,216.02 / $2,246.06 / $4,349.05	Facility		$1,216.02	$2,246.06	$4,349.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $192.46 / $268.14	Professional		$152.05	$192.46	$268.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.65 / $150.65 / $150.65	Facility		$150.65	$150.65	$150.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.07 / $1,137.07 / $1,137.07	Facility		$1,137.07	$1,137.07	$1,137.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $236.72 / $368.47	Professional		$174.81	$236.72	$368.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,493.00 / $16,394.00 / $16,394.00	Facility		$4,493.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.70 / $1,553.70 / $1,553.70	Professional		$1,553.70	$1,553.70	$1,553.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.49 / $233.16 / $391.38	Facility		$166.49	$233.16	$391.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $246.47 / $289.95	Professional		$209.42	$246.47	$289.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $280.89 / $280.89 / $280.89	Professional		$280.89	$280.89	$280.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.49 / $237.98 / $454.50	Facility		$166.49	$237.98	$454.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $240.83 / $372.00	Professional		$174.81	$240.83	$372.00
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $18,325.00	Facility		$564.00	$2,193.00	$18,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $200.08 / $309.20	Professional		$145.51	$200.08	$309.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $158.34 / $218.01	Professional		$137.49	$158.34	$218.01