Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.22 / $518.21 / $1,530.89	Facility		$195.22	$518.21	$1,530.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.64 / $212.97 / $354.95	Professional		$165.64	$212.97	$354.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $719.95 / $1,517.40	Facility		$360.86	$719.95	$1,517.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $162.68 / $414.11	Professional		$5.00	$162.68	$414.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $292.83 / $295.79	Facility		$292.83	$292.83	$295.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.03 / $645.46 / $1,318.08	Facility		$197.03	$645.46	$1,318.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $165.73 / $462.38	Professional		$134.66	$165.73	$462.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.69 / $1,405.00 / $1,405.00	Facility		$724.69	$1,405.00	$1,405.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,478.95 / $2,218.42	Professional		$1,478.95	$1,478.95	$2,218.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $295.79 / $443.69	Facility		$177.47	$295.79	$443.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $369.74	Professional		$295.79	$295.79	$369.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $354.95 / $665.53	Professional		$192.26	$354.95	$665.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.08 / $317.23 / $990.90	Facility		$206.08	$317.23	$990.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $279.39 / $449.45	Professional		$136.29	$279.39	$449.45
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $182.21	Professional		$124.23	$124.23	$182.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $295.79 / $399.32	Professional		$115.36	$295.79	$399.32