Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $47.86	Professional		$26.92	$40.74	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
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 $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $398.11	Professional		$269.15	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $58.88	Facility		$30.20	$42.66	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $46.77	Professional		$30.20	$40.74	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $162.18	Professional		$120.23	$134.90	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $56.23	Facility		$28.84	$41.69	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $67.61	Professional		$35.48	$45.71	$67.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $46.77	Professional		$44.67	$46.77	$46.77