Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,166.00 / $7,513.00	Facility		$487.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $40.38 / $64.29	Professional		$36.99	$40.38	$64.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $44.80 / $62.42	Professional		$35.40	$44.80	$62.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $36.10	Facility		$35.09	$35.09	$36.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $2,277.00 / $4,619.00	Facility		$44.47	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $58.12 / $104.34	Professional		$41.63	$58.12	$104.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $496.00	Professional		$496.00	$496.00	$496.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $56.66 / $100.85	Facility		$37.75	$56.66	$100.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $57.91 / $68.13	Professional		$43.53	$57.91	$68.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $75.50 / $93.40	Professional		$5.00	$75.50	$93.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $57.78 / $104.99	Facility		$37.77	$57.78	$104.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $62.70 / $106.73	Professional		$43.44	$62.70	$106.73
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 $34.65 / $46.93 / $74.34	Professional		$34.65	$46.93	$74.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $37.77 / $50.92	Professional		$32.29	$37.77	$50.92