Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $676.08	Facility		$158.49	$223.87	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $275.42	Professional		$154.88	$204.17	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $933.25	Facility		$251.19	$549.54	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $239.88 / $295.12	Professional		$38.02	$239.88	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $79.43	Facility		$28.18	$28.18	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $724.44	Facility		$87.10	$234.42	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $181.97	Professional		$67.61	$95.50	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $691.83	Professional		$562.34	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $158.49 / $338.84	Facility		$33.11	$158.49	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $288.40	Professional		$144.54	$204.17	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $173.78	Professional		$29.51	$64.57	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $158.49 / $354.81	Facility		$41.69	$158.49	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $316.23	Professional		$66.07	$91.20	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $501.19	Facility		$194.98	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $229.09 / $389.05	Professional		$89.13	$229.09	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $302.00	Professional		$239.88	$251.19	$302.00