Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $151.72 / $163.85	Facility		$149.69	$151.72	$163.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $160.86 / $203.90	Professional		$136.33	$160.86	$203.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.38 / $190.38 / $190.38	Professional		$190.38	$190.38	$190.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $388.11 / $1,081.17 / $1,097.34	Facility		$388.11	$1,081.17	$1,097.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,540.67 / $1,602.29 / $1,732.65	Professional		$1,540.67	$1,602.29	$1,732.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $231.02 / $386.02	Facility		$151.72	$231.02	$386.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $219.47 / $231.02	Professional		$196.37	$219.47	$231.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $226.40 / $259.20 / $404.29	Professional		$226.40	$259.20	$404.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $231.02 / $395.60	Facility		$151.72	$231.02	$395.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $192.09	Professional		$94.26	$94.26	$192.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $104.79 / $158.81	Professional		$81.64	$104.79	$158.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $231.02 / $311.88	Professional		$231.02	$231.02	$311.88