Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $6,918.31	Facility		$575.44	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $208.93	Professional		$107.15	$128.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $2,089.30	Facility		$426.58	$933.25	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $144.54	Professional		$104.71	$120.23	$144.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $245.47	Professional		$117.49	$154.88	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $3,890.45	Facility		$109.65	$234.42	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $181.97	Professional		$109.65	$141.25	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $288.40	Professional		$169.82	$234.42	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $269.15	Facility		$102.33	$151.36	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $239.88	Professional		$117.49	$158.49	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $204.17	Professional		$97.72	$134.90	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $102.33	Professional		$97.72	$102.33	$102.33