Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $3,596.00 / $10,836.00	Facility		$372.62	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $217.41 / $343.34	Professional		$184.12	$217.41	$343.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.62 / $446.69 / $920.45	Facility		$257.62	$446.69	$920.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $278.07 / $385.93	Professional		$218.85	$278.07	$385.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.29 / $208.29 / $208.29	Facility		$208.29	$208.29	$208.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $234.09 / $234.09	Facility		$234.09	$234.09	$234.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $300.80 / $461.31	Professional		$226.50	$300.80	$461.31
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 $3,692.24 / $3,803.01 / $3,803.01	Professional		$3,692.24	$3,803.01	$3,803.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.86 / $295.55 / $502.03	Facility		$223.86	$295.55	$502.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.11 / $354.84 / $417.46	Professional		$255.11	$354.84	$417.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $344.30 / $344.30 / $344.30	Professional		$344.30	$344.30	$344.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.56 / $297.56 / $516.95	Facility		$225.56	$297.56	$516.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.17 / $312.83 / $480.82	Professional		$228.17	$312.83	$480.82
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $256.52 / $420.66	Professional		$187.85	$256.52	$420.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $225.83 / $309.00	Professional		$197.94	$225.83	$309.00