Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $133.22	Facility		$131.90	$131.90	$133.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $144.29	Professional		$131.90	$131.90	$144.29
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 $291.58 / $291.58 / $291.58	Professional		$291.58	$291.58	$291.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $131.90 / $131.90	Facility		$124.43	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $637.37 / $637.37	Facility		$382.50	$637.37	$637.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.69 / $2,287.69 / $2,287.69	Professional		$2,287.69	$2,287.69	$2,287.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.22 / $142.86 / $279.63	Facility		$133.22	$142.86	$279.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $164.88	Professional		$131.90	$131.90	$164.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $205.54 / $324.80	Professional		$142.44	$205.54	$324.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $279.63	Facility		$131.90	$131.90	$279.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $174.21	Professional		$131.90	$131.90	$174.21
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $133.61	Professional		$131.90	$131.90	$133.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $142.86 / $178.07	Professional		$131.90	$142.86	$178.07