Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $794.33	Facility		$104.71	$251.19	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $190.55	Professional		$104.71	$131.83	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $776.25	Facility		$114.82	$134.90	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $257.04	Professional		$93.33	$213.80	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Professional		$870.96	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $323.59	Facility		$131.83	$177.83	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $218.78	Professional		$104.71	$138.04	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $371.54	Professional		$169.82	$190.55	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $512.86	Facility		$123.03	$173.78	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $309.03	Professional		$93.33	$186.21	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $173.78	Facility		$63.10	$74.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Professional		$74.13	$74.13	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $173.78 / $173.78	Professional		$67.61	$173.78	$173.78