Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $1,000.00	Facility		$81.28	$114.82	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $162.18	Professional		$79.43	$107.15	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,905.46 / $2,951.21	Facility		$812.83	$1,905.46	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $128.82	Professional		$54.95	$87.10	$128.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Facility		$97.72	$97.72	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $2,137.96	Facility		$128.82	$346.74	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $309.03	Professional		$83.18	$125.89	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $302.00	Facility		$97.72	$151.36	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $239.88	Professional		$87.10	$120.23	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $251.19	Professional		$43.65	$100.00	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $169.82 / $346.74	Facility		$97.72	$169.82	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $275.42	Professional		$83.18	$123.03	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,621.81	Facility		$630.96	$1,230.27	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $229.09	Professional		$93.33	$125.89	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $125.89	Professional		$100.00	$104.71	$125.89