Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.38 / $1,317.73 / $2,577.00	Facility		$521.38	$1,317.73	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.26 / $475.00 / $715.25	Professional		$332.26	$475.00	$715.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.66 / $1,117.27 / $2,032.27	Facility		$505.66	$1,117.27	$2,032.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $271.92 / $383.52	Professional		$103.07	$271.92	$383.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $347.76 / $347.76 / $426.95	Facility		$347.76	$347.76	$426.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.91 / $776.77 / $1,626.05	Facility		$332.91	$776.77	$1,626.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.12 / $525.54 / $1,058.13	Professional		$313.12	$525.54	$1,058.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.47 / $3,446.24 / $3,637.60	Facility		$3,311.47	$3,446.24	$3,637.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,246.14 / $4,344.14 / $4,344.14	Professional		$4,246.14	$4,344.14	$4,344.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.55 / $521.38 / $975.67	Facility		$347.55	$521.38	$975.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $600.44 / $906.86	Professional		$454.88	$600.44	$906.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $315.22 / $587.97	Professional		$161.28	$315.22	$587.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.09 / $535.38 / $1,009.53	Facility		$349.09	$535.38	$1,009.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $556.54 / $1,118.30	Professional		$331.53	$556.54	$1,118.30
United Facility/Professional Facility Modifier Low / Median / High Price $343.52 / $917.49 / $1,110.33	Facility		$343.52	$917.49	$1,110.33
United Facility/Professional Professional Modifier Low / Median / High Price $372.62 / $541.78 / $999.84	Professional		$372.62	$541.78	$999.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $349.09 / $494.59	Professional		$310.58	$349.09	$494.59