Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.76 / $426.87 / $1,301.95	Facility		$410.76	$426.87	$1,301.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.64 / $426.87 / $692.66	Professional		$402.64	$426.87	$692.66
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 $484.37 / $484.37 / $626.54	Professional		$484.37	$484.37	$626.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $732.27 / $732.27 / $732.27	Facility		$732.27	$732.27	$732.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $758.68	Professional		$553.84	$553.84	$758.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $3,377.04 / $3,377.04	Facility		$1,338.16	$3,377.04	$3,377.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,142.14 / $5,160.64 / $5,160.64	Professional		$5,142.14	$5,160.64	$5,160.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $660.05 / $776.53	Facility		$249.06	$660.05	$776.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.95 / $622.42 / $973.25	Professional		$309.95	$622.42	$973.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $472.40 / $782.12 / $2,804.59	Professional		$472.40	$782.12	$2,804.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.06 / $637.17 / $758.68	Facility		$249.06	$637.17	$758.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $786.60	Professional		$553.84	$553.84	$786.60
United Facility/Professional Professional Modifier Low / Median / High Price $459.49 / $692.02 / $865.02	Professional		$459.49	$692.02	$865.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $667.28 / $708.65 / $732.27	Professional		$667.28	$708.65	$732.27