Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.52 / $222.78 / $801.00	Facility		$110.52	$222.78	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $174.53 / $243.49	Professional		$144.19	$174.53	$243.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.21 / $516.82 / $974.36	Facility		$223.21	$516.82	$974.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $176.77 / $273.08	Professional		$134.91	$176.77	$273.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $166.41 / $175.50	Facility		$146.91	$166.41	$175.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $195.66 / $837.00	Facility		$181.09	$195.66	$837.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $217.48 / $340.36	Professional		$146.07	$217.48	$340.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.56 / $742.54 / $868.87	Facility		$318.56	$742.54	$868.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.22 / $1,130.22 / $1,365.53	Professional		$1,130.22	$1,130.22	$1,365.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $201.12 / $313.70	Facility		$140.25	$201.12	$313.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $232.89 / $288.77	Professional		$178.55	$232.89	$288.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $155.56 / $189.51 / $349.80	Professional		$155.56	$189.51	$349.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $201.12 / $330.73	Facility		$140.25	$201.12	$330.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $234.51 / $422.55	Professional		$157.10	$234.51	$422.55
United Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $189.58 / $294.95	Professional		$146.25	$189.58	$294.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $154.71 / $210.53	Professional		$132.51	$154.71	$210.53