Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.02 / $196.80 / $200.59	Facility		$193.02	$196.80	$200.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $200.59 / $356.85	Professional		$185.45	$200.59	$356.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $257.36	Professional		$257.36	$257.36	$257.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $432.23 / $432.23 / $432.23	Facility		$432.23	$432.23	$432.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.53 / $2,218.98 / $2,618.63	Facility		$1,013.53	$2,218.98	$2,618.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.05 / $3,280.95 / $3,480.83	Professional		$3,204.05	$3,280.95	$3,480.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $301.20 / $432.23	Facility		$133.16	$301.20	$432.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $397.65 / $528.79	Professional		$133.16	$397.65	$528.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $330.65 / $432.23 / $991.96	Professional		$330.65	$432.23	$991.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $288.77 / $432.23	Facility		$133.16	$288.77	$432.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $291.25	Professional		$199.44	$199.44	$291.25
United Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $248.58 / $295.93	Professional		$171.90	$248.58	$295.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $247.71 / $432.23	Professional		$242.12	$247.71	$432.23