Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $113.84 / $1,187.55	Facility		$83.84	$113.84	$1,187.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $114.29 / $288.14	Professional		$89.54	$114.29	$288.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.56 / $1,647.81 / $2,730.11	Facility		$693.56	$1,647.81	$2,730.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $115.28 / $168.10	Professional		$71.67	$115.28	$168.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $118.87 / $132.97	Facility		$118.87	$118.87	$132.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.24 / $596.82 / $2,387.82	Facility		$273.24	$596.82	$2,387.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $188.45 / $569.75	Professional		$103.25	$188.45	$569.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $881.20 / $1,309.69 / $1,309.69	Facility		$881.20	$1,309.69	$1,309.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,555.00 / $3,555.00 / $3,555.00	Professional		$3,555.00	$3,555.00	$3,555.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.60 / $206.25 / $705.04	Facility		$106.60	$206.25	$705.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $204.95 / $496.84	Professional		$155.26	$204.95	$496.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $290.00 / $912.40	Professional		$57.63	$290.00	$912.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.91 / $248.88 / $785.37	Facility		$107.91	$248.88	$785.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $215.13 / $471.04	Professional		$107.02	$215.13	$471.04
United Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $168.07 / $390.75	Professional		$120.96	$168.07	$390.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $119.38 / $168.66	Professional		$106.01	$119.38	$168.66