Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $306.27 / $858.32	Facility		$104.89	$306.27	$858.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $115.37 / $148.59	Professional		$97.89	$115.37	$148.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $174.81 / $823.36	Facility		$76.34	$174.81	$823.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $361.51 / $361.51 / $361.51	Facility		$361.51	$361.51	$361.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $410.28 / $926.95	Facility		$112.66	$410.28	$926.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $212.76 / $254.91	Professional		$92.65	$212.76	$254.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $830.35 / $830.35	Facility		$279.70	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $174.81 / $262.22	Facility		$106.63	$174.81	$262.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $174.81 / $218.51	Professional		$166.07	$174.81	$218.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $218.51 / $611.84	Professional		$113.63	$218.51	$611.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $174.81 / $527.67	Facility		$117.06	$174.81	$527.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $211.52 / $305.92	Professional		$139.85	$211.52	$305.92
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $120.18	Professional		$73.42	$73.42	$120.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $174.81	Professional		$69.92	$69.92	$174.81