Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $79.93 / $208.71	Facility		$31.87	$79.93	$208.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.80 / $56.96	Professional		$23.99	$31.80	$56.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $136.22 / $243.78	Facility		$52.65	$136.22	$243.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.71 / $34.27	Professional		$5.00	$22.71	$34.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $80.00	Facility		$42.84	$42.84	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $98.44 / $226.32	Facility		$49.07	$98.44	$226.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $31.86 / $94.36	Professional		$24.30	$31.86	$94.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $204.03 / $204.03	Facility		$90.00	$204.03	$204.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $321.30 / $352.23 / $352.23	Professional		$321.30	$352.23	$352.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.31 / $53.82 / $95.48	Facility		$34.31	$53.82	$95.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $42.84 / $53.55	Professional		$40.70	$42.84	$53.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $51.41 / $96.39	Professional		$27.85	$51.41	$96.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $64.59 / $156.52	Facility		$35.15	$64.59	$156.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $42.34 / $83.30	Professional		$24.82	$42.34	$83.30
United Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $17.98 / $42.84	Facility		$15.42	$17.98	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.73 / $35.01	Professional		$17.98	$24.73	$35.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $22.19 / $42.84	Professional		$21.15	$22.19	$42.84