Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $72.45 / $768.15	Facility		$56.25	$72.45	$768.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $72.45 / $120.23	Professional		$58.17	$72.45	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $582.41 / $995.08	Facility		$267.16	$582.41	$995.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $59.52 / $83.95	Professional		$19.92	$59.52	$83.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $75.73 / $80.78	Facility		$75.29	$75.73	$80.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $261.32 / $819.29	Facility		$115.52	$261.32	$819.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $91.19 / $170.27	Professional		$61.41	$91.19	$170.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.70 / $431.92 / $431.92	Facility		$230.70	$431.92	$431.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $612.74 / $631.12 / $681.75	Professional		$612.74	$631.12	$681.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $97.64 / $164.26	Facility		$69.00	$97.64	$164.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $130.22 / $315.72	Professional		$98.66	$130.22	$315.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $68.14 / $147.00	Professional		$30.51	$68.14	$147.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $105.74 / $218.01	Facility		$69.88	$105.74	$218.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $101.94 / $214.89	Professional		$63.14	$101.94	$214.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $82.55 / $139.83	Professional		$66.12	$82.55	$139.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $75.53 / $107.16	Professional		$67.36	$75.53	$107.16