Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $72.44 / $234.42	Facility		$29.51	$72.44	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $53.70	Professional		$26.92	$34.67	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $144.54 / $281.84	Facility		$58.88	$144.54	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $24.55 / $39.81	Professional		$5.01	$24.55	$39.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $190.55	Facility		$36.31	$91.20	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $42.66 / $83.18	Professional		$20.42	$42.66	$83.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $338.84	Professional		$223.87	$338.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $85.11	Facility		$33.11	$44.67	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $34.67 / $56.23	Professional		$7.94	$34.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $45.71	Professional		$38.02	$38.02	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $95.50	Professional		$44.67	$48.98	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $138.04	Facility		$31.62	$51.29	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $42.66 / $75.86	Professional		$20.42	$42.66	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $44.67	Facility		$16.22	$19.05	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $30.90	Professional		$19.05	$19.05	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.02 / $44.67	Professional		$17.38	$38.02	$44.67