Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $197.46 / $201.26	Facility		$193.66	$197.46	$201.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.27 / $201.26 / $318.75	Professional		$182.27	$201.26	$318.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $258.22 / $258.22	Professional		$258.22	$258.22	$258.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $433.66 / $433.66 / $433.66	Facility		$433.66	$433.66	$433.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.18 / $2,077.64 / $2,397.75	Facility		$1,222.18	$2,077.64	$2,397.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,863.70 / $3,956.45 / $3,956.45	Professional		$3,863.70	$3,956.45	$3,956.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $300.05 / $433.66	Facility		$121.94	$300.05	$433.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $398.97 / $459.27	Professional		$121.94	$398.97	$459.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $433.66 / $477.03 / $975.74	Professional		$433.66	$477.03	$975.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $289.77 / $433.66	Facility		$121.94	$289.77	$433.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $243.67	Professional		$172.70	$172.70	$243.67
United Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $224.67 / $270.97	Professional		$157.40	$224.67	$270.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $221.70 / $433.66	Professional		$214.72	$221.70	$433.66