Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $350.40 / $982.00	Facility		$134.00	$350.40	$982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $148.00 / $246.96	Professional		$112.00	$148.00	$246.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $596.00 / $1,112.00	Facility		$224.00	$596.00	$1,112.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $93.50 / $192.00	Professional		$4.67	$93.50	$192.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $200.00 / $200.00	Facility		$80.00	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $469.39 / $940.64	Facility		$241.15	$469.39	$940.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $189.94 / $314.91	Professional		$101.39	$189.94	$314.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $950.00 / $950.00	Facility		$490.00	$950.00	$950.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,500.00	Professional		$1,000.00	$1,000.00	$1,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $200.00 / $320.00	Facility		$126.00	$200.00	$320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $256.93	Professional		$200.00	$200.00	$256.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $240.00 / $450.00	Professional		$130.00	$240.00	$450.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $262.32 / $940.64	Facility		$140.00	$262.32	$940.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $233.48 / $350.00	Professional		$101.97	$233.48	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $128.00	Professional		$84.00	$84.00	$128.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $200.00 / $270.00	Professional		$78.00	$200.00	$270.00