Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $12,302.69	Facility		$794.33	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $426.58	Professional		$151.36	$257.04	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $489.78	Facility		$67.61	$112.20	$489.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $158.49	Facility		$79.43	$154.88	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $512.86	Professional		$181.97	$302.00	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,570.40	Professional		$2,187.76	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $794.33	Facility		$169.82	$302.00	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $588.84	Professional		$154.88	$269.15	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $144.54	Professional		$21.38	$33.11	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $537.03	Professional		$234.42	$234.42	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $501.19	Facility		$169.82	$288.40	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $524.81	Professional		$169.82	$302.00	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $380.19	Professional		$141.25	$234.42	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Professional		$316.23	$338.84	$338.84