Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $128.54 / $360.25	Facility		$48.42	$128.54	$360.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $51.36 / $88.04	Professional		$41.09	$51.36	$88.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $40.35	Professional		$5.00	$5.50	$40.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $80.00	Facility		$73.37	$73.37	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $160.24 / $327.64	Facility		$49.13	$160.24	$327.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $46.55 / $115.50	Professional		$33.52	$46.55	$115.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $348.51 / $348.51	Facility		$148.76	$348.51	$348.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $366.85 / $366.85 / $550.28	Professional		$366.85	$366.85	$550.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $73.37 / $110.06	Facility		$46.22	$73.37	$110.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $91.71	Professional		$73.37	$73.37	$91.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $88.04 / $165.08	Professional		$47.69	$88.04	$165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $78.69 / $245.79	Facility		$51.36	$78.69	$245.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $69.39 / $114.82	Professional		$33.64	$69.39	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $31.68 / $46.96	Professional		$30.82	$31.68	$46.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $73.37 / $99.05	Professional		$28.61	$73.37	$99.05