Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,572.00 / $7,495.00	Facility		$632.00	$2,572.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $183.19 / $284.13	Professional		$155.71	$183.19	$284.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.16 / $1,451.74 / $4,305.49	Facility		$681.16	$1,451.74	$4,305.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $194.27 / $296.37	Professional		$142.85	$194.27	$296.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $156.11 / $156.11	Facility		$156.11	$156.11	$156.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $1,725.26 / $1,725.26	Facility		$1,725.26	$1,725.26	$1,725.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $241.12 / $359.07	Professional		$182.11	$241.12	$359.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,349.84 / $1,540.28	Professional		$1,308.32	$1,349.84	$1,540.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $220.70 / $371.32	Facility		$172.44	$220.70	$371.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $271.20 / $319.07	Professional		$230.44	$271.20	$319.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.70 / $226.70 / $226.70	Professional		$226.70	$226.70	$226.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $226.97 / $438.41	Facility		$172.44	$226.97	$438.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $244.50 / $382.92	Professional		$182.11	$244.50	$382.92
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $192.67 / $312.89	Professional		$139.40	$192.67	$312.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $172.20 / $238.72	Professional		$151.29	$172.20	$238.72