Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $218.78	Professional		$69.18	$125.89	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $354.81	Facility		$70.79	$138.04	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $162.18	Professional		$54.95	$79.43	$162.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $245.47	Professional		$79.43	$144.54	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $181.97 / $3,019.95	Facility		$72.44	$181.97	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $295.12	Professional		$70.79	$131.83	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $234.42 / $436.52	Professional		$3.02	$234.42	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $151.36 / $257.04	Facility		$69.18	$151.36	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $263.03	Professional		$79.43	$144.54	$263.03
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 $66.07 / $112.20 / $194.98	Professional		$66.07	$112.20	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Professional		$158.49	$169.82	$169.82