Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,783.00 / $7,542.00	Facility		$652.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $179.43 / $303.87	Professional		$151.25	$179.43	$303.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.25 / $1,987.00 / $4,278.00	Facility		$1,177.25	$1,987.00	$4,278.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $202.88 / $284.56	Professional		$163.86	$202.88	$284.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $152.01 / $157.37	Facility		$80.00	$152.01	$157.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $203.62	Facility		$203.62	$203.62	$203.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $246.15 / $373.80	Professional		$180.97	$246.15	$373.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $445.87 / $11,500.00 / $16,394.00	Facility		$445.87	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.11 / $1,303.68 / $1,520.55	Professional		$1,275.11	$1,303.68	$1,520.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.80 / $224.28 / $368.00	Facility		$167.80	$224.28	$368.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $261.02 / $323.68	Professional		$217.53	$261.02	$323.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $245.40 / $393.10	Professional		$170.08	$245.40	$393.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $224.28 / $373.88	Facility		$169.74	$224.28	$373.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.97 / $253.39 / $377.69	Professional		$180.97	$253.39	$377.69
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $190.91 / $320.64	Professional		$143.18	$190.91	$320.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $169.76 / $233.55	Professional		$148.52	$169.76	$233.55