Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $70.79 / $93.33	Facility		$52.48	$70.79	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $93.33	Professional		$56.23	$69.18	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $141.25	Professional		$64.57	$85.11	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $120.23	Facility		$57.54	$75.86	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $85.11	Professional		$56.23	$67.61	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $123.03	Professional		$60.26	$93.33	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $120.23	Facility		$60.26	$75.86	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $128.82	Professional		$63.10	$83.18	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $123.03	Professional		$56.23	$77.62	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $81.28	Professional		$64.57	$64.57	$81.28