Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $121.51 / $123.85	Facility		$119.18	$121.51	$123.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $123.85 / $200.96	Professional		$114.50	$123.85	$200.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $158.90 / $158.90	Professional		$158.90	$158.90	$158.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $266.86 / $266.86 / $266.86	Facility		$266.86	$266.86	$266.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $701.43 / $1,428.20 / $1,676.42	Facility		$701.43	$1,428.20	$1,676.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.51 / $2,270.75 / $2,586.98	Professional		$2,217.51	$2,270.75	$2,586.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $185.99 / $266.86	Facility		$85.25	$185.99	$266.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $241.18 / $276.37	Professional		$85.25	$241.18	$276.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $293.55 / $600.42	Professional		$266.86	$293.55	$600.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $178.32 / $266.86	Facility		$85.25	$178.32	$266.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $176.33	Professional		$120.74	$120.74	$176.33
United Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $159.13 / $200.70	Professional		$110.05	$159.13	$200.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $158.59 / $266.86	Professional		$156.19	$158.59	$266.86