Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.17 / $273.43 / $278.68	Facility		$268.17	$273.43	$278.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $278.68 / $452.21	Professional		$257.64	$278.68	$452.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.79 / $357.56 / $357.56	Professional		$285.79	$357.56	$357.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $600.50 / $600.50 / $600.50	Facility		$600.50	$600.50	$600.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $419.04	Professional		$305.89	$305.89	$419.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.43 / $2,961.69 / $3,534.43	Facility		$1,301.43	$2,961.69	$3,534.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,571.63 / $3,633.30 / $4,589.78	Professional		$3,571.63	$3,633.30	$4,589.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $415.49 / $600.50	Facility		$179.74	$415.49	$600.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $510.43 / $667.13	Professional		$179.74	$510.43	$667.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.50 / $643.14 / $1,378.15	Professional		$600.50	$643.14	$1,378.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $418.49 / $600.50	Facility		$179.74	$418.49	$600.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $305.89 / $508.64	Professional		$305.89	$305.89	$508.64
United Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $335.51 / $399.42	Professional		$232.01	$335.51	$399.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.34 / $339.37 / $600.50	Professional		$334.34	$339.37	$600.50