Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $74.58 / $76.01	Facility		$73.14	$74.58	$76.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $76.01 / $112.75	Professional		$63.73	$76.01	$112.75
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 $97.53 / $97.53 / $97.53	Professional		$97.53	$97.53	$97.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $163.79 / $163.79	Facility		$163.79	$163.79	$163.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $80.45	Professional		$58.73	$58.73	$80.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $675.46 / $815.48	Facility		$282.27	$675.46	$815.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $892.26 / $913.68 / $999.45	Professional		$892.26	$913.68	$999.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $110.75 / $163.79	Facility		$41.47	$110.75	$163.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $128.76 / $163.79	Professional		$41.47	$128.76	$163.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $171.98 / $175.42	Professional		$171.98	$171.98	$175.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $109.44 / $163.79	Facility		$41.47	$109.44	$163.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $82.86	Professional		$58.73	$58.73	$82.86
United Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $79.19 / $99.57	Professional		$53.53	$79.19	$99.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $78.30 / $163.79	Professional		$77.14	$78.30	$163.79