Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $481.51 / $1,349.42	Facility		$181.39	$481.51	$1,349.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $192.38 / $329.80	Professional		$153.90	$192.38	$329.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $192.38	Professional		$5.00	$5.50	$192.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $274.83 / $274.83	Facility		$80.00	$274.83	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.08 / $603.79 / $1,224.47	Facility		$183.08	$603.79	$1,224.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $153.83 / $429.19	Professional		$125.12	$153.83	$429.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $1,305.44 / $1,305.44	Facility		$439.73	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $274.83 / $412.25	Facility		$167.65	$274.83	$412.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $343.54	Professional		$274.83	$274.83	$343.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $329.80 / $618.37	Professional		$178.64	$329.80	$618.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.68 / $294.75 / $989.60	Facility		$186.68	$294.75	$989.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $247.35 / $417.42	Professional		$126.51	$247.35	$417.42
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $175.89	Professional		$115.43	$115.43	$175.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $274.83 / $371.02	Professional		$107.18	$274.83	$371.02