Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $389.05	Facility		$100.00	$123.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $269.15	Professional		$104.71	$144.54	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $12,022.64	Facility		$3,019.95	$7,413.10	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $173.78	Professional		$61.66	$123.03	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $151.36	Facility		$138.04	$147.91	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $446.68 / $8,709.64	Facility		$229.09	$446.68	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $616.60	Professional		$125.89	$208.93	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $724.44	Facility		$128.82	$229.09	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $354.81	Professional		$109.65	$173.78	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $1,023.29	Professional		$275.42	$389.05	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $263.03 / $794.33	Facility		$134.90	$263.03	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $512.86	Professional		$125.89	$208.93	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $6,606.93	Facility		$2,511.89	$5,011.87	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $407.38	Professional		$138.04	$190.55	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $186.21	Professional		$151.36	$158.49	$186.21