Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $120.74 / $145.33	Facility		$101.76	$120.74	$145.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $127.20 / $178.19	Professional		$103.41	$127.20	$178.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $368.01 / $691.75	Facility		$152.19	$368.01	$691.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $109.66 / $178.58	Professional		$56.81	$109.66	$178.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.55 / $132.30 / $132.30	Facility		$120.55	$132.30	$132.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $139.16 / $352.00	Facility		$22.78	$139.16	$352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $159.81 / $257.19	Professional		$104.49	$159.81	$257.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $827.61 / $1,043.00 / $1,043.00	Facility		$827.61	$1,043.00	$1,043.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $839.64 / $839.64 / $1,075.65	Professional		$839.64	$839.64	$1,075.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $132.79 / $196.86	Facility		$104.81	$132.79	$196.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $220.20 / $286.30	Professional		$147.60	$220.20	$286.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $107.37 / $223.02	Professional		$63.80	$107.37	$223.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $132.99 / $196.86	Facility		$104.81	$132.99	$196.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $175.21 / $314.48	Professional		$118.74	$175.21	$314.48
United Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $138.22 / $213.84	Professional		$97.74	$138.22	$213.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $125.95 / $170.99	Professional		$107.39	$125.95	$170.99