Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $371.54	Professional		$117.49	$173.78	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
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 Professional Modifier Low / Median / High Price $213.80 / $263.03 / $891.25	Professional		$213.80	$263.03	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,621.81	Professional		$1,348.96	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $3,890.45	Facility		$109.65	$275.42	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $537.03	Professional		$134.90	$177.83	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $380.19	Facility		$123.03	$204.17	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $891.25	Professional		$186.21	$323.59	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,778.28 / $4,168.69	Facility		$436.52	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $288.40	Professional		$141.25	$186.21	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Professional		$165.96	$173.78	$173.78