Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $924.24	Facility		$915.09	$915.09	$924.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $942.54	Professional		$915.09	$915.09	$942.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Professional		$73.98	$73.98	$73.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $127.00	Facility		$121.37	$121.37	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $2,153.31 / $2,153.31	Facility		$1,417.80	$2,153.31	$2,153.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,296.35 / $3,021.52 / $3,610.00	Professional		$2,296.35	$3,021.52	$3,610.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $915.09 / $1,939.99	Facility		$652.66	$915.09	$1,939.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,143.85	Professional		$915.09	$915.09	$1,143.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $1,271.97	Professional		$148.10	$302.94	$1,271.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $1,936.29	Facility		$915.09	$915.09	$1,936.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.72 / $915.09 / $1,235.36	Professional		$487.72	$915.09	$1,235.36