Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,224.00 / $11,453.00	Facility		$727.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $172.03 / $284.43	Professional		$145.04	$172.03	$284.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $3,474.21 / $6,612.00	Facility		$1,495.00	$3,474.21	$6,612.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $193.41 / $271.29	Professional		$156.21	$193.41	$271.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $145.80 / $150.90	Facility		$80.00	$145.80	$150.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $240.10 / $359.85	Professional		$176.48	$240.10	$359.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $427.29 / $11,500.00 / $26,542.00	Facility		$427.29	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.13 / $3,201.00 / $3,201.00	Professional		$1,459.13	$3,201.00	$3,201.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $220.43 / $351.19	Facility		$163.69	$220.43	$351.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $250.37 / $310.45	Professional		$208.64	$250.37	$310.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $281.64 / $616.40	Professional		$174.83	$281.64	$616.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.52 / $220.62 / $370.78	Facility		$164.52	$220.62	$370.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $245.93 / $363.34	Professional		$176.35	$245.93	$363.34
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 $137.69 / $186.85 / $296.64	Professional		$137.69	$186.85	$296.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $162.81 / $223.97	Professional		$142.44	$162.81	$223.97