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 $112.20 / $147.91 / $316.23	Professional		$112.20	$147.91	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $416.87	Facility		$57.54	$95.50	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $239.88	Professional		$125.89	$158.49	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $302.00	Professional		$128.82	$186.21	$302.00
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 $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $2,511.89	Facility		$128.82	$204.17	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $288.40	Professional		$117.49	$169.82	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $309.03 / $398.11	Professional		$3.98	$309.03	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $316.23	Facility		$123.03	$181.97	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $302.00	Professional		$131.83	$190.55	$302.00
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 $117.49 / $162.18 / $251.19	Professional		$117.49	$162.18	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $169.82	Professional		$154.88	$169.82	$169.82