Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $147.33 / $150.16	Facility		$144.49	$147.33	$150.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $150.16 / $243.66	Professional		$138.83	$150.16	$243.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.66 / $192.66 / $192.66	Professional		$192.66	$192.66	$192.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $323.57 / $323.57	Facility		$323.57	$323.57	$323.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $832.22 / $1,700.62 / $2,049.25	Facility		$832.22	$1,700.62	$2,049.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.87 / $2,510.73 / $2,949.23	Professional		$2,451.87	$2,510.73	$2,949.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $225.49 / $323.57	Facility		$104.21	$225.49	$323.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $294.98 / $353.03	Professional		$104.21	$294.98	$353.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.57 / $355.93 / $728.03	Professional		$323.57	$355.93	$728.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $225.49 / $323.57	Facility		$104.21	$225.49	$323.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $284.38	Professional		$195.70	$195.70	$284.38
United Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $199.00 / $231.58	Professional		$134.52	$199.00	$231.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $193.85 / $323.57	Professional		$192.71	$193.85	$323.57