Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $159.93 / $163.01	Facility		$156.86	$159.93	$163.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $163.01 / $264.50	Professional		$151.11	$163.01	$264.50
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 $186.16 / $186.16 / $240.68	Professional		$186.16	$186.16	$240.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $277.39 / $277.39 / $277.39	Facility		$277.39	$277.39	$277.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $565.83 / $1,271.08 / $1,271.08	Facility		$565.83	$1,271.08	$1,271.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.94 / $2,214.14 / $2,214.14	Professional		$2,156.94	$2,214.14	$2,214.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $250.04 / $294.16	Facility		$94.35	$250.04	$294.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $235.78 / $319.00	Professional		$117.38	$235.78	$319.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.26 / $291.26 / $299.12	Professional		$291.26	$291.26	$299.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $246.29 / $312.30	Facility		$94.35	$246.29	$312.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
United Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $263.55 / $329.43	Professional		$174.99	$263.55	$329.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $266.83 / $277.39	Professional		$254.13	$266.83	$277.39