Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,244.00 / $7,513.00	Facility		$488.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.51 / $245.82 / $415.69	Professional		$212.51	$245.82	$415.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,909.05 / $4,621.18	Facility		$1,100.00	$2,909.05	$4,621.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $279.68 / $388.09	Professional		$223.47	$279.68	$388.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $208.00 / $215.48	Facility		$80.00	$208.00	$215.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $278.58 / $278.58	Facility		$278.58	$278.58	$278.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $346.01 / $529.14	Professional		$254.23	$346.01	$529.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $692.04 / $11,500.00 / $12,000.00	Facility		$692.04	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,785.41 / $2,785.41 / $2,785.41	Professional		$2,785.41	$2,785.41	$2,785.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.46 / $325.12 / $547.00	Facility		$234.46	$325.12	$547.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $339.96 / $442.81	Professional		$279.26	$339.96	$442.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $249.34 / $401.69 / $879.14	Professional		$249.34	$401.69	$879.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $327.07 / $552.10	Facility		$235.24	$327.07	$552.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $356.59 / $532.38	Professional		$254.70	$356.59	$532.38
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $273.98 / $442.02	Professional		$202.06	$273.98	$442.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $232.23 / $319.50	Professional		$203.19	$232.23	$319.50