Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.61 / $192.73 / $269.18	Professional		$126.61	$192.73	$269.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $299.99 / $1,041.13	Facility		$172.54	$299.99	$1,041.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $182.40 / $259.20	Professional		$152.85	$182.40	$259.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $142.49 / $147.75	Facility		$142.49	$142.49	$147.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $327.04 / $1,487.00	Facility		$193.75	$327.04	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $198.36 / $348.93	Professional		$131.82	$198.36	$348.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,344.10	Facility		$55.00	$55.00	$1,344.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.59 / $1,705.59 / $1,705.59	Professional		$1,705.59	$1,705.59	$1,705.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $180.54 / $376.70	Facility		$134.40	$180.54	$376.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $234.04 / $290.54	Professional		$177.55	$234.04	$290.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $211.10 / $424.40	Professional		$157.90	$211.10	$424.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.31 / $185.38 / $386.33	Facility		$136.31	$185.38	$386.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $215.09 / $425.54	Professional		$137.30	$215.09	$425.54
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,663.00	Facility		$161.00	$1,058.00	$2,663.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $166.58 / $274.56	Professional		$106.74	$166.58	$274.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $161.84 / $218.73	Professional		$137.76	$161.84	$218.73