Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $35.75 / $82.22	Facility		$21.45	$35.75	$82.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $57.14 / $126.54	Professional		$25.62	$57.14	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.89 / $1,485.97 / $2,364.92	Facility		$176.89	$1,485.97	$2,364.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $74.65 / $152.32	Professional		$30.82	$74.65	$152.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $29.51 / $133.47	Facility		$26.43	$29.51	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $70.16	Facility		$50.93	$50.93	$70.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $67.09 / $158.38	Professional		$32.79	$67.09	$158.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $230.91 / $230.91 / $230.91	Facility		$230.91	$230.91	$230.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $490.15 / $644.64 / $1,062.15	Professional		$490.15	$644.64	$1,062.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $66.18 / $132.56	Facility		$29.15	$66.18	$132.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $143.80 / $219.30	Professional		$39.53	$143.80	$219.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $119.60 / $216.47	Professional		$30.74	$119.60	$216.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $67.20 / $131.71	Facility		$29.32	$67.20	$131.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $80.84 / $195.61	Professional		$34.65	$80.84	$195.61
United Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $76.97 / $126.42	Professional		$52.85	$76.97	$126.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $116.90 / $166.54	Professional		$104.63	$116.90	$166.54