Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $220.95 / $2,317.14	Facility		$172.37	$220.95	$2,317.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $220.95 / $395.22	Professional		$172.37	$220.95	$395.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.91 / $695.10 / $1,136.96	Facility		$304.91	$695.10	$1,136.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $53.52 / $250.13	Professional		$20.04	$53.52	$250.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $223.01 / $235.04 / $270.27	Facility		$223.01	$235.04	$270.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,511.37 / $5,429.97	Facility		$587.00	$1,511.37	$5,429.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.23 / $292.92 / $602.50	Professional		$194.23	$292.92	$602.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $560.05 / $4,042.45 / $4,042.45	Facility		$560.05	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.31 / $1,700.31 / $2,048.63	Professional		$1,700.31	$1,700.31	$2,048.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.07 / $303.52 / $533.15	Facility		$225.07	$303.52	$533.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.29 / $388.01 / $598.47	Professional		$223.29	$388.01	$598.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $365.31 / $425.50	Professional		$38.63	$365.31	$425.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $369.60 / $1,668.38	Facility		$236.87	$369.60	$1,668.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $308.11 / $621.61	Professional		$203.07	$308.11	$621.61
United Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $309.35 / $447.29	Professional		$242.04	$309.35	$447.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.70 / $223.29 / $319.45	Professional		$200.70	$223.29	$319.45