Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.51 / $203.42 / $227.47	Facility		$200.51	$203.42	$227.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $203.42 / $253.11	Professional		$150.41	$203.42	$253.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $2.16 / $4.75	Facility		$1.24	$2.16	$4.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.14	Professional		$1.14	$1.14	$1.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.41 / $293.41 / $293.41	Facility		$293.41	$293.41	$293.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $505.72 / $1,392.99 / $1,443.76	Facility		$505.72	$1,392.99	$1,443.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.44 / $1,351.44 / $2,226.23	Professional		$1,351.44	$1,351.44	$2,226.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $267.80 / $468.65	Facility		$192.55	$267.80	$468.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.57 / $240.57 / $602.54	Professional		$240.57	$240.57	$602.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $245.46 / $342.66	Professional		$148.10	$245.46	$342.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.55 / $280.02 / $522.21	Facility		$192.55	$280.02	$522.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $216.38 / $216.38	Professional		$216.38	$216.38	$216.38
United Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $254.57	Professional		$254.57	$254.57	$254.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $267.80 / $361.53	Professional		$4.38	$267.80	$361.53