Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $107.03 / $109.08	Facility		$104.97	$107.03	$109.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $109.08 / $154.37	Professional		$88.93	$109.08	$154.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $139.96 / $139.96	Professional		$139.96	$139.96	$139.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $235.06 / $235.06	Facility		$235.06	$235.06	$235.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $918.20 / $1,013.03 / $1,013.03	Facility		$918.20	$1,013.03	$1,013.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.59 / $1,170.59 / $1,654.73	Professional		$1,170.59	$1,170.59	$1,654.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $157.06 / $235.06	Facility		$56.78	$157.06	$235.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $198.78 / $235.06	Professional		$56.78	$198.78	$235.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $258.57 / $528.88	Professional		$235.06	$258.57	$528.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $157.06 / $235.06	Facility		$56.78	$157.06	$235.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $113.46	Professional		$80.42	$80.42	$113.46
United Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $105.99 / $126.18	Professional		$73.30	$105.99	$126.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $107.22 / $235.06	Professional		$105.63	$107.22	$235.06