Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $83.24 / $112.55	Facility		$75.67	$83.24	$112.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $98.29 / $137.25	Professional		$77.66	$98.29	$137.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $119.98 / $206.22	Facility		$48.81	$119.98	$206.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $53.41 / $129.15	Professional		$29.98	$53.41	$129.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $37.61	Facility		$37.61	$37.61	$37.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.96 / $265.83 / $294.88	Facility		$108.96	$265.83	$294.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $124.31 / $299.06	Professional		$89.87	$124.31	$299.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $325.11 / $808.32 / $818.13	Facility		$325.11	$808.32	$818.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.74 / $1,632.28 / $1,632.28	Professional		$1,584.74	$1,632.28	$1,632.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $148.27 / $347.54	Facility		$41.35	$148.27	$347.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $41.99 / $104.52	Professional		$37.61	$41.99	$104.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $79.02 / $374.00	Professional		$67.03	$79.02	$374.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $147.44 / $351.83	Facility		$41.35	$147.44	$351.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $126.25 / $1,800,000.00	Professional		$94.13	$126.25	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $265.81 / $368.38	Professional		$162.79	$265.81	$368.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $175.06 / $236.33	Professional		$175.06	$175.06	$236.33