Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $1,122.02	Facility		$162.18	$354.81	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $239.88	Professional		$147.91	$186.21	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $457.09 / $1,096.48	Facility		$162.18	$457.09	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $363.08	Professional		$131.83	$302.00	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $1,862.09	Professional		$1,230.27	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Facility		$186.21	$251.19	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $309.03	Professional		$147.91	$199.53	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $524.81	Professional		$239.88	$269.15	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $691.83	Facility		$173.78	$257.04	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $436.52	Professional		$131.83	$263.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $251.19	Facility		$89.13	$104.71	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $251.19 / $251.19	Professional		$97.72	$251.19	$251.19