Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.02 / $2,124.00 / $7,497.00	Facility		$244.02	$2,124.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $164.46 / $248.78	Professional		$118.40	$164.46	$248.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $139.13 / $567.63	Facility		$82.55	$139.13	$567.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $155.66 / $243.86	Professional		$119.73	$155.66	$243.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $108.08 / $167.53	Facility		$108.08	$108.08	$167.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $111.89 / $115.55	Facility		$111.89	$111.89	$115.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $182.10 / $281.88	Professional		$133.31	$182.10	$281.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $897.84 / $9,102.00 / $11,500.00	Facility		$897.84	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $955.76 / $1,352.63 / $2,278.08	Professional		$955.76	$1,352.63	$2,278.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $183.01 / $313.05	Facility		$129.33	$183.01	$313.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $197.31 / $284.13	Professional		$139.47	$197.31	$284.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $173.62 / $288.99	Professional		$123.17	$173.62	$288.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.02 / $183.01 / $314.16	Facility		$129.02	$183.01	$314.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $185.27 / $290.76	Professional		$135.83	$185.27	$290.76
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,509.00	Facility		$597.00	$2,054.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $166.37 / $245.97	Professional		$125.28	$166.37	$245.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $152.51 / $214.02	Professional		$134.72	$152.51	$214.02