Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.01 / $44.00	Professional		$25.45	$32.01	$44.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $21.06 / $96.50	Facility		$18.42	$21.06	$96.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $25.66	Professional		$25.66	$25.66	$25.66
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 $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $42.87 / $48.27	Professional		$39.01	$42.87	$48.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $161.97 / $185.25	Facility		$85.00	$161.97	$185.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $207.28 / $299.10	Professional		$207.28	$207.28	$299.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $34.11 / $50.69	Facility		$24.74	$34.11	$50.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $58.80 / $95.71	Professional		$51.55	$58.80	$95.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $33.78 / $50.32	Facility		$24.01	$33.78	$50.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $48.27 / $52.50	Professional		$43.94	$48.27	$52.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $24.36 / $34.22	Professional		$19.12	$24.36	$34.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $36.68 / $51.35	Professional		$30.77	$36.68	$51.35