Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $98.70 / $143.71	Professional		$70.81	$98.70	$143.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $131.01 / $377.67	Facility		$64.48	$131.01	$377.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $108.15 / $170.51	Professional		$74.42	$108.15	$170.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.22 / $86.36 / $117.95	Facility		$76.22	$86.36	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $128.06 / $209.90	Professional		$87.25	$128.06	$209.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $414.79 / $455.10 / $455.10	Facility		$414.79	$455.10	$455.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $801.18 / $1,000.73	Professional		$595.01	$801.18	$1,000.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $109.05 / $170.40	Facility		$78.38	$109.05	$170.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $137.63 / $191.49	Professional		$101.92	$137.63	$191.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $117.37 / $144.91	Professional		$81.92	$117.37	$144.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $108.69 / $163.24	Facility		$76.23	$108.69	$163.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $131.93 / $220.44	Professional		$89.31	$131.93	$220.44
United Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $122.85 / $178.05	Professional		$97.98	$122.85	$178.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $116.60 / $162.93	Professional		$102.14	$116.60	$162.93