Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $93.40 / $1,272.00	Facility		$15.24	$93.40	$1,272.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $15.24 / $27.27	Professional		$11.23	$15.24	$27.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $66.16 / $118.90	Facility		$24.76	$66.16	$118.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $11.03 / $28.07	Professional		$5.00	$11.03	$28.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $23.11	Facility		$20.05	$20.05	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $43.78 / $91.57	Facility		$14.01	$43.78	$91.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $14.92 / $41.29	Professional		$10.63	$14.92	$41.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.52 / $95.52	Facility		$55.00	$95.52	$95.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $164.83 / $164.83	Professional		$153.93	$164.83	$164.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $20.05 / $37.56	Facility		$16.04	$20.05	$37.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.05 / $26.13	Professional		$18.05	$20.05	$26.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $24.26 / $45.11	Professional		$20.05	$24.26	$45.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $20.05 / $50.29	Facility		$16.04	$20.05	$50.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $18.98 / $36.49	Professional		$11.41	$18.98	$36.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.47 / $17.23	Professional		$8.42	$11.47	$17.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.90 / $20.05	Professional		$7.82	$9.90	$20.05