Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.20 / $2,017.00 / $6,691.00	Facility		$201.20	$2,017.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $141.38 / $236.95	Professional		$102.54	$141.38	$236.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $133.84 / $561.02	Facility		$68.00	$133.84	$561.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $156.87 / $229.96	Professional		$107.67	$156.87	$229.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $2,543.29 / $2,543.29	Facility		$102.50	$2,543.29	$2,543.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.59 / $161.59 / $161.59	Facility		$161.59	$161.59	$161.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $169.14 / $262.36	Professional		$116.76	$169.14	$262.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $593.61	Facility		$55.00	$55.00	$593.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.00 / $1,581.00 / $1,581.00	Professional		$1,581.00	$1,581.00	$1,581.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $157.31 / $295.23	Facility		$112.49	$157.31	$295.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.76 / $209.83 / $290.54	Professional		$146.76	$209.83	$290.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.70 / $174.70 / $174.70	Professional		$174.70	$174.70	$174.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $160.97 / $297.00	Facility		$112.49	$160.97	$297.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $171.47 / $304.31	Professional		$117.29	$171.47	$304.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,100.00 / $8,226.00	Facility		$1,284.00	$4,100.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $144.66 / $231.78	Professional		$99.14	$144.66	$231.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $154.77 / $218.46	Professional		$137.76	$154.77	$218.46