Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.53 / $201.60 / $1,082.85	Facility		$157.53	$201.60	$1,082.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $196.36 / $270.02	Professional		$157.53	$196.36	$270.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $140.22 / $243.32	Professional		$33.22	$140.22	$243.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Facility		$38.11	$38.11	$38.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $240.60 / $676.87	Facility		$109.23	$240.60	$676.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $100.52 / $188.13	Professional		$76.20	$100.52	$188.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $514.16 / $539.87	Facility		$205.62	$514.16	$539.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,272.00 / $1,272.00	Professional		$1,272.00	$1,272.00	$1,272.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.59 / $144.43 / $348.60	Facility		$41.59	$144.43	$348.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $68.98 / $90.96	Professional		$38.11	$68.98	$90.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $150.50 / $165.30	Professional		$132.19	$150.50	$165.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $144.31 / $342.72	Facility		$41.92	$144.31	$342.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $101.52 / $1,800,000.00	Professional		$74.73	$101.52	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $234.37 / $366.72	Professional		$110.48	$234.37	$366.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $253.61 / $345.40	Professional		$216.99	$253.61	$345.40