Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $510.47 / $1,430.58	Facility		$192.30	$510.47	$1,430.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $203.95 / $349.63	Professional		$163.16	$203.95	$349.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $836.20 / $1,541.29	Facility		$320.50	$836.20	$1,541.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $160.25 / $262.22	Professional		$5.00	$160.25	$262.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $291.36 / $291.36	Facility		$80.00	$291.36	$291.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $640.10 / $1,298.47	Facility		$194.08	$640.10	$1,298.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $162.90 / $454.50	Professional		$132.72	$162.90	$454.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $466.18 / $1,383.96 / $1,383.96	Facility		$466.18	$1,383.96	$1,383.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.80 / $1,456.80 / $2,185.19	Professional		$1,456.80	$1,456.80	$2,185.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.64 / $291.36 / $437.04	Facility		$180.64	$291.36	$437.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $364.20	Professional		$291.36	$291.36	$364.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $349.63 / $655.56	Professional		$189.38	$349.63	$655.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.90 / $312.48 / $1,049.42	Facility		$197.90	$312.48	$1,049.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $262.22 / $442.04	Professional		$133.97	$262.22	$442.04
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $174.82	Professional		$122.37	$122.37	$174.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $291.36 / $393.34	Professional		$113.63	$291.36	$393.34