Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $95.76 / $249.99	Facility		$38.79	$95.76	$249.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $37.97 / $67.52	Professional		$28.73	$37.97	$67.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.22 / $161.63 / $307.35	Facility		$67.22	$161.63	$307.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.22 / $71.83	Professional		$5.00	$28.22	$71.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $80.00	Facility		$51.31	$51.31	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $118.58 / $259.14	Facility		$58.78	$118.58	$259.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $39.45 / $108.94	Professional		$29.08	$39.45	$108.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $243.72 / $243.72	Facility		$110.11	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $294.19 / $384.83	Professional		$285.62	$294.19	$384.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $54.30 / $93.89	Facility		$35.92	$54.30	$93.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $64.14	Professional		$51.31	$51.31	$64.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $56.44 / $115.45	Professional		$49.92	$56.44	$115.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $73.37 / $215.02	Facility		$41.08	$73.37	$215.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $50.95 / $99.79	Professional		$29.72	$50.95	$99.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.33 / $51.31	Professional		$21.55	$30.33	$51.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $26.58 / $51.31	Professional		$25.34	$26.58	$51.31