Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Professional		$65.91	$65.91	$65.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.49 / $1,231.27 / $1,354.39	Facility		$390.49	$1,231.27	$1,354.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $46.55 / $46.55	Professional		$46.55	$46.55	$46.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $153.91 / $159.53	Facility		$100.00	$153.91	$159.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.66 / $216.66 / $216.66	Professional		$216.66	$216.66	$216.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $85.68	Facility		$65.91	$65.91	$85.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.73 / $192.18 / $267.73	Professional		$178.73	$192.18	$267.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $85.68	Facility		$65.91	$65.91	$85.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00