Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.90 / $2,107.00 / $7,316.00	Facility		$332.90	$2,107.00	$7,316.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,169.17 / $1,169.17 / $5,628.75	Facility	50	$1,169.17	$1,169.17	$5,628.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $195.57 / $300.47	Professional		$73.15	$195.57	$300.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.08 / $298.85 / $311.97	Professional	50	$298.08	$298.85	$311.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.54 / $1,012.58 / $2,231.42	Facility		$612.54	$1,012.58	$2,231.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $179.36 / $290.52	Professional		$74.56	$179.36	$290.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $644.38 / $644.38	Facility		$71.44	$644.38	$644.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $171.29 / $355.57	Professional		$89.31	$171.29	$355.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $404.18	Facility		$55.00	$55.00	$404.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.64 / $676.43 / $1,886.00	Professional		$600.64	$676.43	$1,886.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $187.25 / $338.26	Facility		$77.84	$187.25	$338.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $254.98 / $391.27	Professional		$103.44	$254.98	$391.27
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $552.38 / $552.38 / $552.38	Professional	50	$552.38	$552.38	$552.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $219.91 / $436.38	Professional		$80.42	$219.91	$436.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $188.61 / $347.16	Facility		$77.84	$188.61	$347.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $179.82 / $396.96	Professional		$89.97	$179.82	$396.96
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $226.99 / $367.51	Professional		$171.66	$226.99	$367.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $208.06 / $294.92	Professional		$185.52	$208.06	$294.92