Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $301.07 / $1,156.45	Facility		$137.43	$301.07	$1,156.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $160.56 / $315.02	Professional		$134.52	$160.56	$315.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $1,699.28 / $3,247.79	Facility		$566.51	$1,699.28	$3,247.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $152.28 / $322.58	Professional		$107.74	$152.28	$322.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $211.84 / $214.07	Facility		$80.00	$211.84	$214.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $268.25 / $520.98	Facility		$117.31	$268.25	$520.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $151.50 / $406.39	Professional		$110.03	$151.50	$406.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $514.33 / $1,046.03 / $1,210.78	Facility		$514.33	$1,046.03	$1,210.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.94 / $1,439.88 / $1,911.00	Professional		$1,397.94	$1,439.88	$1,911.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.86 / $279.57 / $437.00	Facility		$152.86	$279.57	$437.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $312.91 / $494.16	Professional		$215.05	$312.91	$494.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $152.25 / $398.58	Professional		$101.04	$152.25	$398.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $272.27 / $501.69	Facility		$130.01	$272.27	$501.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $178.97 / $550.40	Professional		$113.00	$178.97	$550.40
United Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $656.15 / $803.15	Facility		$30.89	$656.15	$803.15
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $157.13 / $459.73	Professional		$139.44	$157.13	$459.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $120.90 / $226.01	Professional		$118.58	$120.90	$226.01