Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.82 / $2,112.62 / $6,762.00	Facility		$207.82	$2,112.62	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $151.02 / $275.67	Professional		$94.71	$151.02	$275.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $196.18 / $795.11	Facility		$114.33	$196.18	$795.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $160.97 / $257.06	Professional		$86.63	$160.97	$257.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $181.74	Facility		$79.50	$79.50	$181.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.32 / $151.32 / $156.26	Facility		$151.32	$151.32	$156.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $174.38 / $279.19	Professional		$98.22	$174.38	$279.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $654.72	Facility		$55.00	$55.00	$654.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,471.88 / $2,086.50	Professional		$696.00	$1,471.88	$2,086.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $171.33 / $292.94	Facility		$94.72	$171.33	$292.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $187.52 / $289.80	Professional		$101.76	$187.52	$289.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $184.32 / $207.13	Professional		$88.72	$184.32	$207.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $171.62 / $298.13	Facility		$94.72	$171.62	$298.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $178.22 / $295.08	Professional		$100.71	$178.22	$295.08
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,714.00	Facility		$371.00	$1,529.00	$3,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $178.96 / $260.61	Professional		$131.76	$178.96	$260.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $163.44 / $231.30	Professional		$145.49	$163.44	$231.30