Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $507.34 / $698.91	Facility		$138.88	$507.34	$698.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.48 / $507.34 / $813.19	Professional		$459.48	$507.34	$813.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.26 / $520.26 / $650.91	Professional		$520.26	$520.26	$650.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,093.19 / $1,093.19 / $1,093.19	Facility		$1,093.19	$1,093.19	$1,093.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $443.12 / $841.20	Professional		$443.12	$443.12	$841.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,826.85 / $5,063.85 / $5,063.85	Facility		$1,826.85	$5,063.85	$5,063.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,474.86 / $5,474.86 / $7,960.43	Professional		$5,474.86	$5,474.86	$7,960.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.88 / $820.73 / $1,093.19	Facility		$312.88	$820.73	$1,093.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.88 / $983.87 / $1,093.19	Professional		$312.88	$983.87	$1,093.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.54 / $1,147.84 / $1,913.08	Professional		$1,003.54	$1,147.84	$1,913.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.88 / $656.58 / $1,093.19	Facility		$312.88	$656.58	$1,093.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.12 / $607.00 / $865.03	Professional		$443.12	$607.00	$865.03
United Facility/Professional Professional Modifier Low / Median / High Price $352.09 / $499.66 / $640.41	Professional		$352.09	$499.66	$640.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $582.05 / $635.91 / $1,093.19	Professional		$582.05	$635.91	$1,093.19