Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,107.00 / $6,762.00	Facility		$405.00	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.23 / $325.12 / $465.63	Professional		$212.23	$325.12	$465.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.13 / $352.53 / $1,201.55	Facility		$189.13	$352.53	$1,201.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.75 / $328.58 / $533.02	Professional		$205.75	$328.58	$533.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.51 / $195.51 / $366.25	Facility		$195.51	$195.51	$366.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.52 / $321.77 / $2,530.00	Facility		$271.52	$321.77	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $366.78 / $589.98	Professional		$237.24	$366.78	$589.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,557.66	Facility		$55.00	$55.00	$1,557.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,538.71 / $3,004.58	Professional		$1,739.00	$2,538.71	$3,004.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $345.85 / $618.08	Facility		$222.94	$345.85	$618.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.69 / $407.32 / $620.08	Professional		$284.69	$407.32	$620.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $403.00 / $935.80	Professional		$5.00	$403.00	$935.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $347.47 / $658.36	Facility		$222.94	$347.47	$658.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.27 / $407.03 / $721.62	Professional		$246.27	$407.03	$721.62
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $359.09 / $567.39	Professional		$257.04	$359.09	$567.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $343.32 / $465.57	Professional		$294.01	$343.32	$465.57