Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $139.33 / $165.78	Facility		$117.99	$139.33	$165.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $141.12 / $179.02	Professional		$117.99	$141.12	$179.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $390.32 / $741.19	Facility		$164.86	$390.32	$741.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $135.61 / $135.61	Professional		$135.61	$135.61	$135.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $136.03 / $140.44 / $140.44	Facility		$136.03	$140.44	$140.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $334.07 / $789.00	Facility		$106.40	$334.07	$789.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $161.41 / $228.64	Professional		$114.80	$161.41	$228.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $289.13 / $826.88 / $826.88	Facility		$289.13	$826.88	$826.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $975.32 / $975.32 / $1,282.13	Professional		$975.32	$975.32	$1,282.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $149.57 / $207.23	Facility		$87.35	$149.57	$207.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $219.32 / $292.42	Professional		$146.21	$219.32	$292.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $152.80 / $183.88	Professional		$138.15	$152.80	$183.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $149.97 / $216.09	Facility		$89.08	$149.97	$216.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.18 / $276.31	Professional		$121.35	$166.18	$276.31
United Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $141.22 / $205.13	Professional		$105.68	$141.22	$205.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $138.15 / $193.41	Professional		$124.79	$138.15	$193.41