Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $3,500.00 / $10,893.00	Facility		$149.72	$3,500.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $149.72 / $228.78	Professional		$60.75	$149.72	$228.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $182.18 / $346.35	Facility		$74.81	$182.18	$346.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $133.80 / $157.41	Professional		$46.73	$133.80	$157.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $163.99 / $184.46	Facility		$53.65	$163.99	$184.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $77.45 / $149.66	Facility		$67.00	$77.45	$149.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $170.85 / $308.72	Professional		$69.90	$170.85	$308.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.26 / $363.26 / $363.26	Facility		$363.26	$363.26	$363.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $1,237.14 / $1,666.43	Professional		$736.38	$1,237.14	$1,666.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $160.19 / $260.30	Facility		$64.42	$160.19	$260.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $226.89 / $359.78	Professional		$83.27	$226.89	$359.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $191.59 / $357.46	Professional		$62.84	$191.59	$357.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.63 / $160.33 / $260.30	Facility		$64.63	$160.33	$260.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $183.30 / $400.45	Professional		$73.58	$183.30	$400.45
United Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $204.63 / $323.32	Professional		$152.87	$204.63	$323.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $185.03 / $262.89	Professional		$165.09	$185.03	$262.89