Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $252.90 / $935.35	Facility		$115.20	$252.90	$935.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $134.40 / $230.40	Professional		$107.52	$134.40	$230.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.32 / $480.00 / $990.72	Facility		$184.32	$480.00	$990.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $101.76 / $153.60	Professional		$5.00	$101.76	$153.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $192.00 / $192.00	Facility		$80.00	$192.00	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $360.67 / $830.05	Facility		$57.64	$360.67	$830.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $97.92 / $280.61	Professional		$38.84	$97.92	$280.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $385.41 / $912.00 / $912.00	Facility		$385.41	$912.00	$912.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $1,440.00	Professional		$960.00	$960.00	$1,440.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $192.00 / $288.00	Facility		$115.20	$192.00	$288.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $192.00 / $240.00	Professional		$182.40	$192.00	$240.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $230.40 / $432.00	Professional		$124.80	$230.40	$432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $203.17 / $627.17	Facility		$83.67	$203.17	$627.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $127.09 / $291.58	Professional		$39.61	$127.09	$291.58
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $115.20	Professional		$35.14	$80.64	$115.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $192.00 / $259.20	Professional		$74.88	$192.00	$259.20