Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $19,395.00 / $91,162.01	Facility		$29.91	$19,395.00	$91,162.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $31.21	Professional		$29.91	$29.91	$31.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $17.75 / $17.75	Professional		$17.75	$17.75	$17.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $29.91 / $29.91	Facility		$28.22	$29.91	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $135.06	Facility		$75.00	$85.00	$135.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $135.06 / $135.06	Professional		$135.06	$135.06	$135.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $30.70 / $63.41	Facility		$30.21	$30.70	$63.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $37.39	Professional		$29.91	$29.91	$37.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $50.71 / $302.94	Professional		$32.29	$50.71	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $63.29	Facility		$29.91	$29.91	$63.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $36.60	Professional		$29.91	$29.91	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $30.59 / $40.38	Professional		$29.91	$30.59	$40.38