Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $758.58 / $1,862.09	Facility		$26.92	$758.58	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $46.77	Professional		$26.92	$32.36	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $4,265.80	Facility		$436.52	$562.34	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Professional		$85.11	$100.00	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $363.08	Professional		$346.74	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $81.28	Facility		$29.51	$45.71	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $47.86	Professional		$26.92	$33.11	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $134.90	Professional		$87.10	$114.82	$134.90
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 $29.51 / $46.77 / $81.28	Facility		$29.51	$46.77	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $389.05	Facility		$181.97	$295.12	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $72.44	Professional		$35.48	$46.77	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $190.55 / $239.88	Professional		$48.98	$190.55	$239.88