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 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $158.49	Professional		$45.71	$95.50	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $524.81	Facility		$74.13	$123.03	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $141.25	Professional		$43.65	$81.28	$141.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $204.17	Professional		$54.95	$114.82	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $389.05	Facility		$54.95	$56.23	$389.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $870.96	Professional		$741.31	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $3,890.45	Facility		$48.98	$154.88	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $186.21	Professional		$46.77	$104.71	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $39.81	Professional		$32.36	$33.11	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $239.88 / $295.12	Professional		$3.02	$239.88	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $104.71 / $194.98	Facility		$46.77	$104.71	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $199.53	Professional		$56.23	$114.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,659.59 / $4,168.69	Facility		$436.52	$1,659.59	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.20 / $169.82	Professional		$44.67	$91.20	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71