Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.75 / $177.16 / $496.50	Facility		$67.75	$177.16	$496.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $76.84 / $158.90	Professional		$60.67	$76.84	$158.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.28 / $249.77 / $529.87	Facility		$124.28	$249.77	$529.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $55.62 / $141.57	Professional		$5.00	$55.62	$141.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $101.12 / $101.12	Facility		$80.00	$101.12	$101.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $237.33 / $449.91	Facility		$103.76	$237.33	$449.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $95.93 / $159.09	Professional		$51.27	$95.93	$159.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.74 / $655.68 / $655.68	Facility		$247.74	$655.68	$655.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $505.60 / $758.40	Professional		$505.60	$505.60	$758.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $101.12 / $151.68	Facility		$61.68	$101.12	$151.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $101.12 / $126.40	Professional		$96.06	$101.12	$126.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $121.34 / $227.52	Professional		$65.73	$121.34	$227.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $121.34 / $421.02	Facility		$70.78	$121.34	$421.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $116.29 / $155.97	Professional		$51.54	$116.29	$155.97
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $101.12	Professional		$42.47	$42.47	$101.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $101.12 / $136.51	Professional		$39.44	$101.12	$136.51