Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.77 / $140.47 / $143.16	Facility		$137.77	$140.47	$143.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $143.16 / $202.60	Professional		$121.13	$143.16	$202.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $183.70 / $183.70	Professional		$183.70	$183.70	$183.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $308.51 / $308.51 / $308.51	Facility		$308.51	$308.51	$308.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $674.17 / $1,236.41 / $1,465.42	Facility		$674.17	$1,236.41	$1,465.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.11 / $2,182.28 / $2,182.28	Professional		$2,131.11	$2,182.28	$2,182.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $206.13 / $308.51	Facility		$74.52	$206.13	$308.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $268.02 / $308.51	Professional		$74.52	$268.02	$308.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.51 / $339.36 / $694.15	Professional		$308.51	$339.36	$694.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $206.13 / $308.51	Facility		$74.52	$206.13	$308.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $177.21	Professional		$121.35	$121.35	$177.21
United Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $139.10 / $165.60	Professional		$96.20	$139.10	$165.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $138.61 / $308.51	Professional		$137.22	$138.61	$308.51