Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.94 / $2,107.00 / $6,762.00	Facility		$198.94	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $121.71 / $232.80	Professional		$61.07	$121.71	$232.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $153.50 / $615.10	Facility		$93.83	$153.50	$615.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $133.69 / $225.10	Professional		$59.40	$133.69	$225.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $60.04 / $176.32	Facility		$60.04	$60.04	$176.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $175.97 / $2,530.00	Facility		$132.63	$175.97	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $158.85 / $273.93	Professional		$72.67	$158.85	$273.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $375.60	Facility		$55.00	$55.00	$375.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,183.11 / $1,394.70	Professional		$825.00	$1,183.11	$1,394.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $153.47 / $250.53	Facility		$65.75	$153.47	$250.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $176.13 / $288.22	Professional		$82.00	$176.13	$288.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $175.80 / $329.31	Professional		$66.98	$175.80	$329.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $157.61 / $266.31	Facility		$65.75	$157.61	$266.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $167.57 / $340.00	Professional		$75.58	$167.57	$340.00
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 $112.35 / $151.94 / $245.87	Professional		$112.35	$151.94	$245.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $159.72 / $216.93	Professional		$136.66	$159.72	$216.93