Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,122.02 / $1,548.82	Facility		$109.65	$1,122.02	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $40.74 / $77.62	Facility		$10.47	$40.74	$77.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $457.09	Professional		$6.92	$6.92	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $346.74	Facility		$0.52	$0.52	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $1,122.02	Professional		$346.74	$346.74	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $346.74	Facility		$0.52	$0.52	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $489.78	Professional		$58.88	$58.88	$489.78