Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $113.04 / $424.48	Facility		$106.65	$113.04	$424.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $113.04 / $183.43	Professional		$102.89	$113.04	$183.43
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 $115.93 / $115.93 / $145.04	Professional		$115.93	$115.93	$145.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $243.59 / $243.59 / $243.59	Facility		$243.59	$243.59	$243.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $188.23	Professional		$98.72	$98.72	$188.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $406.95 / $1,128.10 / $1,128.10	Facility		$406.95	$1,128.10	$1,128.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.95 / $1,219.95 / $1,773.15	Professional		$1,219.95	$1,219.95	$1,773.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $182.86 / $243.59	Facility		$69.70	$182.86	$243.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $224.10 / $243.59	Professional		$69.70	$224.10	$243.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $243.59 / $559.03	Professional		$219.23	$243.59	$559.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $146.43 / $243.59	Facility		$69.70	$146.43	$243.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $192.47	Professional		$98.72	$135.22	$192.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $133.10 / $154.88	Professional		$89.98	$133.10	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $131.80 / $243.59	Professional		$129.65	$131.80	$243.59