Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $48.98 / $912.01	Facility		$20.42	$48.98	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $64.57	Professional		$20.89	$30.20	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $77.62 / $144.54	Facility		$34.67	$77.62	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $39.81	Professional		$20.42	$25.12	$39.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $125.89 / $125.89	Facility		$23.99	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $489.78 / $1,862.09	Facility		$43.65	$489.78	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $91.20	Professional		$26.30	$44.67	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Professional		$616.60	$616.60	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $87.10	Facility		$24.55	$40.74	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $52.48	Professional		$20.89	$32.36	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $141.25	Professional		$25.70	$54.95	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $95.50	Facility		$25.12	$45.71	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $81.28	Professional		$26.30	$46.77	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $1,148.15	Facility		$831.76	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $66.07	Professional		$23.99	$37.15	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $30.20	Professional		$23.99	$25.12	$30.20