Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $64.97 / $175.64	Facility		$26.32	$64.97	$175.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.11 / $52.21	Professional		$20.89	$26.11	$52.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $111.05 / $208.51	Facility		$42.78	$111.05	$208.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.14 / $48.73	Professional		$5.00	$19.14	$48.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $80.00	Facility		$34.81	$34.81	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $74.73 / $155.52	Facility		$36.79	$74.73	$155.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.79 / $70.91	Professional		$18.22	$23.79	$70.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.28 / $514.48 / $514.48	Facility		$85.28	$514.48	$514.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $386.73 / $397.33	Professional		$261.08	$386.73	$397.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $45.25 / $80.06	Facility		$27.87	$45.25	$80.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $44.56	Professional		$34.81	$34.81	$44.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $41.77 / $78.31	Professional		$22.63	$41.77	$78.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $51.62 / $136.44	Facility		$28.20	$51.62	$136.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $33.32 / $65.93	Professional		$18.57	$33.32	$65.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.80 / $69.03	Professional		$20.89	$26.80	$69.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.20 / $34.81	Professional		$18.03	$18.20	$34.81