Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,715.35 / $12,022.64	Facility		$190.55	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $218.78	Professional		$57.54	$125.89	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $741.31	Facility		$102.33	$169.82	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $208.93	Professional		$61.66	$125.89	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $144.54 / $144.54	Facility		$56.23	$144.54	$144.54
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 $69.18 / $144.54 / $263.03	Professional		$69.18	$144.54	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,202.26	Professional		$1,023.29	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $151.36 / $2,570.40	Facility		$63.10	$151.36	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $257.04	Professional		$58.88	$134.90	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $302.00 / $398.11	Professional		$5.01	$302.00	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $138.04 / $245.47	Facility		$61.66	$138.04	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $263.03	Professional		$69.18	$144.54	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $208.93	Professional		$56.23	$109.65	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $144.54	Professional		$138.04	$144.54	$144.54