Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.29 / $65.01 / $88.43	Facility		$55.29	$65.01	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $79.44 / $101.41	Professional		$65.05	$79.44	$101.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $44.50 / $68.02	Professional		$44.50	$44.50	$68.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $67.73 / $101.90	Professional		$51.00	$67.73	$101.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $81.66 / $141.19	Professional		$40.00	$81.66	$141.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $351.83 / $351.83	Facility		$323.95	$351.83	$351.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $538.17 / $700.20	Professional		$457.92	$538.17	$700.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $81.91 / $112.19	Facility		$65.05	$81.91	$112.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $108.07 / $152.60	Professional		$79.59	$108.07	$152.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $168.10 / $216.90	Professional		$54.80	$168.10	$216.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $81.62 / $112.05	Facility		$65.01	$81.62	$112.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $60.81 / $141.19	Professional		$25.00	$60.81	$141.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $90.22 / $146.50	Professional		$67.65	$90.22	$146.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $83.34 / $113.62	Professional		$70.95	$83.34	$113.62