Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.91 / $3,570.00 / $10,893.00	Facility		$632.91	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $475.00 / $700.37	Professional		$421.90	$475.00	$700.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.74 / $457.51 / $739.84	Professional		$367.74	$457.51	$739.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.90 / $390.90 / $395.26	Facility		$390.90	$390.90	$395.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $2,024.00 / $4,619.00	Facility		$514.80	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $600.00 / $938.11	Professional		$440.00	$600.00	$938.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,125.82	Facility		$55.00	$55.00	$3,125.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,304.00 / $3,395.28 / $3,837.83	Professional		$3,304.00	$3,395.28	$3,837.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.83 / $539.42 / $968.84	Facility		$429.83	$539.42	$968.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.11 / $679.99 / $799.99	Professional		$511.11	$679.99	$799.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $621.50 / $1,160.80	Professional		$5.00	$621.50	$1,160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.31 / $547.61 / $1,020.57	Facility		$431.31	$547.61	$1,020.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.49 / $636.35 / $1,115.02	Professional		$454.49	$636.35	$1,115.02
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.89 / $493.83 / $784.95	Professional		$373.89	$493.83	$784.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $443.38 / $599.95	Professional		$379.32	$443.38	$599.95