Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $218.36 / $607.22	Facility		$92.23	$218.36	$607.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $87.25 / $149.57	Professional		$69.80	$87.25	$149.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $304.12 / $643.14	Facility		$162.03	$304.12	$643.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $68.55 / $174.50	Professional		$5.00	$68.55	$174.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $124.64 / $124.64	Facility		$80.00	$124.64	$124.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $292.54 / $661.06	Facility		$80.31	$292.54	$661.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $64.09 / $189.29	Professional		$38.84	$64.09	$189.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.42 / $592.04 / $592.04	Facility		$199.42	$592.04	$592.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $623.20 / $934.80	Professional		$623.20	$623.20	$934.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.03 / $124.64 / $186.96	Facility		$76.03	$124.64	$186.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $124.64 / $155.80	Professional		$124.64	$124.64	$155.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $149.57 / $280.44	Professional		$81.02	$149.57	$280.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $124.64 / $376.22	Facility		$83.09	$124.64	$376.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $93.47 / $189.29	Professional		$39.10	$93.47	$189.29
United Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $52.35 / $76.78	Professional		$34.76	$52.35	$76.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $124.64 / $168.26	Professional		$48.61	$124.64	$168.26