Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $467.74 / $1,258.93	Facility		$186.21	$467.74	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $380.19	Professional		$151.36	$213.80	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $831.76 / $1,412.54	Facility		$309.03	$831.76	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $144.54 / $363.08	Professional		$5.01	$144.54	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $263.03	Facility		$79.43	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $501.19 / $1,174.90	Facility		$208.93	$501.19	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $446.68	Professional		$117.49	$177.83	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $1,995.26	Professional		$1,445.44	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $524.81	Facility		$199.53	$281.84	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $331.13	Professional		$158.49	$213.80	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $562.34	Professional		$257.04	$288.40	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $776.25	Facility		$199.53	$323.59	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $426.58	Professional		$117.49	$186.21	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $263.03	Facility		$95.50	$112.20	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $501.19	Professional		$147.91	$158.49	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $263.03	Professional		$102.33	$223.87	$263.03