Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $154.54 / $157.52	Facility		$151.57	$154.54	$157.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $157.52 / $257.17	Professional		$143.08	$157.52	$257.17
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 $161.53 / $202.10 / $202.10	Professional		$161.53	$202.10	$202.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $339.42 / $339.42 / $339.42	Facility		$339.42	$339.42	$339.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $685.92 / $1,607.39 / $1,908.08	Facility		$685.92	$1,607.39	$1,908.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.42 / $2,165.17 / $2,810.78	Professional		$2,114.42	$2,165.17	$2,810.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $234.85 / $339.42	Facility		$97.03	$234.85	$339.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $305.48 / $381.07	Professional		$97.03	$305.48	$381.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $339.42 / $778.97	Professional		$259.66	$339.42	$778.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $226.79 / $339.42	Facility		$97.03	$226.79	$339.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $225.13	Professional		$159.56	$159.56	$225.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $181.13 / $215.63	Professional		$125.26	$181.13	$215.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $183.50 / $339.42	Professional		$180.50	$183.50	$339.42