Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $112.20	Facility		$85.11	$100.00	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $162.18	Professional		$87.10	$114.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $190.55	Facility		$51.29	$114.82	$190.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $302.00	Facility		$112.20	$275.42	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $263.03	Professional		$104.71	$141.25	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,148.15	Professional		$851.14	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $144.54 / $251.19	Facility		$42.66	$144.54	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $162.18	Professional		$97.72	$117.49	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $123.03	Professional		$30.20	$33.11	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $257.04	Professional		$186.21	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $158.49 / $257.04	Facility		$48.98	$158.49	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $398.11	Professional		$104.71	$138.04	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $190.55	Professional		$117.49	$141.25	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $107.15	Professional		$53.70	$87.10	$107.15