Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $1,047.55 / $2,935.74	Facility		$358.75	$1,047.55	$2,935.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.83 / $394.62 / $508.22	Professional		$334.83	$394.62	$508.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $1,476.84 / $3,091.19	Facility		$597.91	$1,476.84	$3,091.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.29 / $1,313.60 / $2,663.36	Facility		$398.29	$1,313.60	$2,663.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $728.03 / $872.26	Professional		$287.00	$728.03	$872.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $956.66 / $2,840.07 / $2,840.07	Facility		$956.66	$2,840.07	$2,840.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $597.91 / $838.39	Facility		$358.75	$597.91	$838.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.01 / $597.91 / $747.39	Professional		$568.01	$597.91	$747.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $747.39 / $1,345.30	Professional		$538.12	$747.39	$1,345.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.13 / $641.25 / $2,153.67	Facility		$406.13	$641.25	$2,153.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $717.49 / $1,046.33	Professional		$349.78	$717.49	$1,046.33
United Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $251.12 / $597.91	Facility		$215.25	$251.12	$597.91
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $382.66	Professional		$251.12	$251.12	$382.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $597.91	Professional		$239.16	$239.16	$597.91