Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.17 / $451.39 / $1,178.41	Facility		$174.17	$451.39	$1,178.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $179.01 / $309.74	Professional		$135.46	$179.01	$309.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.95 / $754.73 / $1,343.88	Facility		$299.95	$754.73	$1,343.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $133.05 / $215.29	Professional		$5.00	$133.05	$215.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $241.90 / $241.90	Facility		$80.00	$241.90	$241.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $562.53 / $1,222.98	Facility		$229.64	$562.53	$1,222.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $167.60 / $496.84	Professional		$137.12	$167.60	$496.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $523.17 / $1,149.03 / $1,149.03	Facility		$523.17	$1,149.03	$1,149.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.40 / $241.90 / $387.04	Facility		$152.40	$241.90	$387.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $241.90 / $302.38	Professional		$229.81	$241.90	$302.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $290.27 / $544.27	Professional		$157.24	$290.27	$544.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.01 / $290.27 / $1,045.42	Facility		$179.01	$290.27	$1,045.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $229.86 / $466.66	Professional		$137.12	$229.86	$466.66
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $138.38 / $166.31	Professional		$101.60	$138.38	$166.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $241.90 / $326.57	Professional		$94.34	$241.90	$326.57