Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $616.60	Professional		$204.17	$380.19	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $588.84	Professional		$190.55	$354.81	$588.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $436.52	Facility		$181.97	$186.21	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,023.29	Facility		$354.81	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $741.31	Professional		$229.09	$398.11	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,388.44	Professional		$2,884.03	$3,388.44	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $457.09 / $977.24	Facility		$208.93	$457.09	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $645.65	Professional		$204.17	$371.54	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $758.58 / $1,202.26	Professional		$204.17	$758.58	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $436.52 / $776.25	Facility		$213.80	$436.52	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $776.25	Professional		$223.87	$398.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $616.60	Professional		$194.98	$346.74	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $426.58 / $489.78	Professional		$158.49	$426.58	$489.78