Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $51.72 / $577.35	Facility		$40.28	$51.72	$577.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $51.59 / $78.14	Professional		$40.28	$51.59	$78.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.97 / $1,016.13 / $1,969.66	Facility		$308.97	$1,016.13	$1,969.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $43.18 / $60.90	Professional		$12.98	$43.18	$60.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $56.69 / $60.08	Facility		$54.81	$56.69	$60.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $174.14 / $1,701.54	Facility		$60.52	$174.14	$1,701.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $55.65 / $110.13	Professional		$40.29	$55.65	$110.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.53 / $359.91 / $359.91	Facility		$123.53	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $397.13 / $514.50	Professional		$397.13	$397.13	$514.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $61.17 / $104.21	Facility		$47.13	$61.17	$104.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $98.21 / $238.08	Professional		$74.40	$98.21	$238.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $56.20 / $104.09	Professional		$19.43	$56.20	$104.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $62.58 / $143.50	Facility		$47.64	$62.58	$143.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $65.47 / $148.38	Professional		$41.70	$65.47	$148.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $54.51 / $90.13	Professional		$44.64	$54.51	$90.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $56.84 / $80.84	Professional		$50.80	$56.84	$80.84