Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $589.84 / $1,612.50	Facility		$244.94	$589.84	$1,612.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $231.70 / $397.20	Professional		$185.36	$231.70	$397.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $175.43 / $294.58	Professional		$5.00	$175.43	$294.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $331.00 / $331.00	Facility		$80.00	$331.00	$331.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.79 / $727.21 / $1,465.41	Facility		$178.79	$727.21	$1,465.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $263.58 / $520.86	Professional		$147.41	$263.58	$520.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $529.60 / $1,572.25 / $1,572.25	Facility		$529.60	$1,572.25	$1,572.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.00 / $1,655.00 / $2,482.50	Professional		$1,655.00	$1,655.00	$2,482.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.91 / $331.00 / $496.50	Facility		$201.91	$331.00	$496.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $331.00 / $413.75	Professional		$314.45	$331.00	$413.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $397.20 / $744.75	Professional		$215.15	$397.20	$744.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $359.73 / $1,129.46	Facility		$194.63	$359.73	$1,129.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $380.65 / $520.86	Professional		$150.77	$380.65	$520.86
United Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $139.02 / $331.00	Facility		$119.16	$139.02	$331.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $139.02 / $203.90	Professional		$108.81	$139.02	$203.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $331.00 / $446.85	Professional		$129.09	$331.00	$446.85