Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $467.04 / $647.61	Facility		$318.52	$467.04	$647.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $320.60 / $382.24	Professional		$318.52	$320.60	$382.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.12 / $795.04 / $1,586.31	Facility		$314.12	$795.04	$1,586.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $316.79 / $316.79	Professional		$316.79	$316.79	$316.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $11,964.17 / $11,964.17 / $11,964.17	Facility		$11,964.17	$11,964.17	$11,964.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $318.52 / $318.52	Facility		$300.50	$318.52	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.34 / $1,565.00 / $1,592.65	Facility		$416.34	$1,565.00	$1,592.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.70 / $1,374.70 / $1,374.70	Professional		$1,374.70	$1,374.70	$1,374.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $318.52 / $656.17	Facility		$317.42	$318.52	$656.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $324.89 / $525.57	Professional		$318.52	$324.89	$525.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $356.30 / $634.00	Professional		$318.52	$356.30	$634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $568.58	Facility		$318.52	$318.52	$568.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $384.18	Professional		$318.52	$318.52	$384.18
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $337.64 / $354.59	Professional		$318.52	$337.64	$354.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $318.52 / $445.94	Professional		$311.36	$318.52	$445.94