Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $977.24 / $3,090.30	Facility		$436.52	$977.24	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $758.58	Professional		$407.38	$512.86	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $3,548.13	Facility		$691.83	$1,380.38	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,230.27 / $3,019.95	Facility		$436.52	$1,230.27	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $831.76 / $977.24	Professional		$354.81	$831.76	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,258.93	Facility		$478.63	$676.08	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $851.14	Professional		$407.38	$537.03	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,445.44	Professional		$676.08	$724.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,905.46	Facility		$478.63	$691.83	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $1,174.90	Professional		$354.81	$707.95	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $676.08	Facility		$245.47	$281.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $467.74	Professional		$281.84	$281.84	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $676.08 / $676.08	Professional		$263.03	$676.08	$676.08