Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $295.12	Professional		$141.25	$181.97	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $398.11 / $398.11	Facility		$79.43	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,290.87	Professional		$1,949.84	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $457.09	Facility		$154.88	$295.12	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $338.84	Professional		$151.36	$181.97	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $1,479.11	Professional		$120.23	$120.23	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $489.78	Facility		$154.88	$295.12	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $354.81	Facility		$95.50	$151.36	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $218.78	Professional		$125.89	$181.97	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11