Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $140.86 / $518.22	Facility		$36.76	$140.86	$518.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $52.07 / $127.34	Professional		$40.19	$52.07	$127.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.04 / $1,115.00 / $1,930.45	Facility		$462.04	$1,115.00	$1,930.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $48.44 / $57.42	Professional		$40.61	$48.44	$57.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $55.03 / $60.23	Facility		$48.96	$55.03	$60.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $349.59 / $1,465.65	Facility		$138.53	$349.59	$1,465.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $81.05 / $250.47	Professional		$47.81	$81.05	$250.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.06 / $598.83 / $598.83	Facility		$266.06	$598.83	$598.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,895.10 / $2,895.10 / $2,895.10	Professional		$2,895.10	$2,895.10	$2,895.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.13 / $90.05 / $291.39	Facility		$48.13	$90.05	$291.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $93.41 / $226.44	Professional		$70.76	$93.41	$226.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $67.94 / $130.80	Professional		$54.15	$67.94	$130.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $113.41 / $320.00	Facility		$49.60	$113.41	$320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $91.33 / $228.77	Professional		$49.11	$91.33	$228.77
United Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $72.17 / $192.91	Professional		$52.76	$72.17	$192.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $55.57 / $76.48	Professional		$48.31	$55.57	$76.48