Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,153.00 / $7,316.00	Facility		$521.00	$2,153.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $425.91 / $640.85	Professional		$381.73	$425.91	$640.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $159.47 / $597.79	Facility		$85.54	$159.47	$597.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.46 / $451.62 / $641.78	Professional		$378.46	$451.62	$641.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $356.29 / $359.84	Facility		$356.29	$356.29	$359.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $161.47 / $209.64	Facility		$56.00	$161.47	$209.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.44 / $537.91 / $832.99	Professional		$396.44	$537.91	$832.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,839.62	Facility		$55.00	$55.00	$2,839.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.08 / $3,083.68 / $3,487.50	Professional		$3,000.08	$3,083.68	$3,487.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.12 / $469.85 / $854.86	Facility		$382.12	$469.85	$854.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.23 / $617.63 / $726.62	Professional		$464.23	$617.63	$726.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $467.40 / $1,056.20	Professional		$5.00	$467.40	$1,056.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.72 / $473.46 / $922.81	Facility		$381.72	$473.46	$922.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.75 / $560.03 / $1,009.13	Professional		$410.75	$560.03	$1,009.13
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $444.50 / $692.14	Professional		$326.89	$444.50	$692.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.53 / $402.72 / $545.04	Professional		$344.53	$402.72	$545.04