Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $3,445.00 / $10,234.00	Facility		$76.81	$3,445.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $70.95 / $95.07	Professional		$43.75	$70.95	$95.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $78.70 / $131.66	Professional		$46.44	$78.70	$131.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Facility		$41.11	$41.11	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $65.01 / $65.01	Facility		$65.01	$65.01	$65.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $87.17 / $144.19	Professional		$51.71	$87.17	$144.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $230.28	Facility		$55.00	$55.00	$230.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $592.16 / $698.03	Professional		$351.00	$592.16	$698.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $84.43 / $143.26	Facility		$50.22	$84.43	$143.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $88.24 / $140.38	Professional		$60.55	$88.24	$140.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $99.10 / $99.10	Professional		$99.10	$99.10	$99.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $85.13 / $156.83	Facility		$50.22	$85.13	$156.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $89.57 / $149.05	Professional		$52.74	$89.57	$149.05
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $85.64 / $138.65	Professional		$64.48	$85.64	$138.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $77.39 / $108.31	Professional		$68.47	$77.39	$108.31