Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.86 / $2,244.00 / $7,513.00	Facility		$495.86	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $315.06 / $531.76	Professional		$268.50	$315.06	$531.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,338.83 / $29,304.72 / $61,886.94	Facility		$12,338.83	$29,304.72	$61,886.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.19 / $403.00 / $639.32	Professional		$289.19	$403.00	$639.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $305.70 / $312.14	Facility		$80.00	$305.70	$312.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.35 / $422.08 / $621.63	Professional		$312.35	$422.08	$621.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.35 / $12,000.00 / $114,559.55	Facility		$1,478.35	$12,000.00	$114,559.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.05 / $8,263.84 / $8,263.84	Professional		$2,740.05	$8,263.84	$8,263.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.52 / $371.47 / $578.28	Facility		$288.52	$371.47	$578.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.16 / $475.11 / $577.59	Professional		$388.16	$475.11	$577.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $388.70 / $388.70	Professional		$388.70	$388.70	$388.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.52 / $372.23 / $630.47	Facility		$288.52	$372.23	$630.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $431.98 / $638.55	Professional		$313.00	$431.98	$638.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $9,624.00 / $50,448.00	Facility		$4,604.00	$9,624.00	$50,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.31 / $323.72 / $514.08	Professional		$243.31	$323.72	$514.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $300.52 / $416.80	Professional		$265.02	$300.52	$416.80