Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.02 / $2,107.00 / $6,762.00	Facility		$356.02	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $249.20 / $382.95	Professional		$128.38	$249.20	$382.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $328.37	Facility		$116.53	$116.53	$328.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $3,559.00	Facility		$935.02	$1,240.44	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $296.20 / $503.13	Professional		$144.83	$296.20	$503.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $920.10	Facility		$55.00	$55.00	$920.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.91 / $2,165.36 / $2,524.65	Professional		$1,133.91	$2,165.36	$2,524.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $290.44 / $482.37	Facility		$129.41	$290.44	$482.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $320.58 / $524.59	Professional		$166.52	$320.58	$524.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $656.80 / $831.20	Professional		$5.00	$656.80	$831.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $293.36 / $547.67	Facility		$129.57	$293.36	$547.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $326.56 / $658.23	Professional		$152.60	$326.56	$658.23
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.06 / $330.72 / $536.37	Professional		$242.06	$330.72	$536.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.74 / $290.98 / $395.06	Professional		$248.74	$290.98	$395.06