Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $376.47 / $506.98	Facility		$248.50	$376.47	$506.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $250.98 / $300.69	Professional		$248.50	$250.98	$300.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.09 / $505.54 / $1,058.08	Facility		$211.09	$505.54	$1,058.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $242.69 / $242.69	Professional		$242.69	$242.69	$242.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $30,274.86 / $30,274.86 / $30,274.86	Facility		$30,274.86	$30,274.86	$30,274.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $248.50 / $248.50	Facility		$234.43	$248.50	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.07 / $1,218.15 / $1,242.50	Facility		$324.07	$1,218.15	$1,242.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.29 / $1,074.29 / $1,074.29	Professional		$1,074.29	$1,074.29	$1,074.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $485.88	Facility		$248.50	$248.50	$485.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $253.47 / $410.03	Professional		$248.50	$253.47	$410.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $278.81 / $478.40	Professional		$248.50	$278.81	$478.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $443.56	Facility		$248.50	$248.50	$443.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $298.56	Professional		$248.50	$248.50	$298.56
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $278.32	Professional		$248.50	$263.41	$278.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $248.50 / $347.90	Professional		$243.32	$248.50	$347.90