Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $307.30 / $907.77	Facility		$115.76	$307.30	$907.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $122.78 / $210.48	Professional		$98.22	$122.78	$210.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $427.98 / $899.80	Facility		$217.50	$427.98	$899.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $96.47 / $245.56	Professional		$5.00	$96.47	$245.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $175.40 / $175.40	Facility		$80.00	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.83 / $385.35 / $782.10	Facility		$116.83	$385.35	$782.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $98.19 / $273.94	Professional		$79.93	$98.19	$273.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $341.43 / $833.15 / $833.15	Facility		$341.43	$833.15	$833.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $877.00 / $1,315.50	Professional		$877.00	$877.00	$1,315.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $175.40 / $263.10	Facility		$106.99	$175.40	$263.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $219.25	Professional		$175.40	$175.40	$219.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $210.48 / $394.65	Professional		$114.01	$210.48	$394.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $188.12 / $631.90	Facility		$119.14	$188.12	$631.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $139.71 / $266.42	Professional		$80.75	$139.71	$266.42
United Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $175.40 / $210.48	Facility		$73.67	$175.40	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $112.26	Professional		$73.67	$73.67	$112.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $175.40 / $236.79	Professional		$68.41	$175.40	$236.79