Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.74 / $2,107.00 / $6,762.00	Facility		$202.74	$2,107.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $133.08 / $219.35	Professional		$84.09	$133.08	$219.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $132.76 / $507.45	Facility		$62.01	$132.76	$507.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $144.78 / $225.95	Professional		$78.90	$144.78	$225.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $148.12 / $148.12	Facility		$148.12	$148.12	$148.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $161.62 / $264.00	Professional		$96.85	$161.62	$264.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.65 / $9,102.00 / $11,500.00	Facility		$423.65	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.79 / $1,950.30 / $1,950.30	Professional		$635.79	$1,950.30	$1,950.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $160.41 / $266.95	Facility		$86.69	$160.41	$266.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $178.27 / $291.70	Professional		$109.33	$178.27	$291.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $336.30 / $336.30	Professional		$336.30	$336.30	$336.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $161.79 / $289.02	Facility		$86.69	$161.79	$289.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $168.16 / $288.16	Professional		$98.80	$168.16	$288.16
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $152.65 / $251.75	Professional		$106.34	$152.65	$251.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $155.94 / $219.46	Professional		$138.31	$155.94	$219.46