Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $91.30 / $166.56	Professional		$52.90	$91.30	$166.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $71.73 / $102.67	Professional		$25.86	$71.73	$102.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $124.74 / $130.85	Facility		$117.84	$124.74	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $73.97 / $237.25	Professional		$37.92	$73.97	$237.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $404.00 / $716.63 / $716.63	Facility		$404.00	$716.63	$716.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $882.93 / $882.93 / $1,123.05	Professional		$882.93	$882.93	$1,123.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $127.57 / $253.56	Facility		$81.97	$127.57	$253.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $196.02 / $311.41	Professional		$153.29	$196.02	$311.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $97.10 / $230.65	Professional		$46.99	$97.10	$230.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $130.51 / $276.00	Facility		$82.55	$130.51	$276.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $97.79 / $348.39	Professional		$38.17	$97.79	$348.39
United Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $83.32 / $272.12	Professional		$45.34	$83.32	$272.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $70.72 / $130.72	Professional		$38.74	$70.72	$130.72