Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $109.40 / $156.65	Facility		$77.19	$109.40	$156.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $112.26 / $183.14	Professional		$85.00	$112.26	$183.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $118.85 / $178.37	Professional		$86.32	$118.85	$178.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.25 / $86.69	Facility		$80.00	$85.25	$86.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $159.97	Facility		$159.97	$159.97	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $140.07 / $222.60	Professional		$100.13	$140.07	$222.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $475.00	Facility		$55.00	$55.00	$475.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $916.88 / $1,091.84	Professional		$680.64	$916.88	$1,091.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $126.26 / $207.43	Facility		$89.90	$126.26	$207.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $162.44 / $222.88	Professional		$120.68	$162.44	$222.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $140.40	Professional		$140.40	$140.40	$140.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $126.41 / $208.94	Facility		$89.96	$126.41	$208.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $147.04 / $239.94	Professional		$101.93	$147.04	$239.94
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $943.00 / $2,376.00	Facility		$161.00	$943.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $126.67 / $197.33	Professional		$95.00	$126.67	$197.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $120.22 / $168.44	Professional		$106.56	$120.22	$168.44