Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $312.14 / $318.14	Facility		$306.14	$312.14	$318.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $318.14 / $516.23	Professional		$289.63	$318.14	$516.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.18 / $408.18 / $408.18	Professional		$408.18	$408.18	$408.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $685.52 / $685.52 / $685.52	Facility		$685.52	$685.52	$685.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,145.54 / $3,175.29 / $3,175.29	Facility		$1,145.54	$3,175.29	$3,175.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,432.91 / $3,432.91 / $4,991.63	Professional		$3,432.91	$3,432.91	$4,991.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $458.05 / $685.52	Facility		$196.19	$458.05	$685.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $616.97 / $685.52	Professional		$196.19	$616.97	$685.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.41 / $699.23 / $1,542.42	Professional		$524.41	$699.23	$1,542.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $412.14 / $685.52	Facility		$196.19	$412.14	$685.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $392.05	Professional		$277.86	$277.86	$392.05
United Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $366.22 / $435.98	Professional		$237.95	$366.22	$435.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.95 / $364.95 / $685.52	Professional		$363.95	$364.95	$685.52