Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.10 / $3,570.00 / $10,893.00	Facility		$628.10	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.06 / $466.02 / $560.89	Professional		$408.06	$466.02	$560.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.13 / $481.16 / $670.36	Professional		$380.13	$481.16	$670.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $381.47 / $381.47 / $381.47	Facility		$381.47	$381.47	$381.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.70 / $582.58 / $940.47	Professional		$429.70	$582.58	$940.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,083.43	Facility		$55.00	$55.00	$5,083.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,906.88 / $2,974.16 / $3,529.73	Professional		$2,906.88	$2,974.16	$3,529.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.69 / $490.70 / $945.86	Facility		$396.69	$490.70	$945.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.00 / $601.16 / $701.35	Professional		$521.00	$601.16	$701.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.21 / $455.86 / $695.38	Professional		$382.21	$455.86	$695.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.69 / $490.70 / $1,059.75	Facility		$396.69	$490.70	$1,059.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.70 / $586.94 / $1,029.78	Professional		$429.70	$586.94	$1,029.78
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $472.76 / $755.24	Professional		$355.41	$472.76	$755.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $342.05 / $392.56 / $535.53	Professional		$342.05	$392.56	$535.53