Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $22.54 / $311.89	Facility		$18.93	$22.54	$311.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $25.27 / $34.79	Professional		$20.13	$25.27	$34.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $358.52 / $683.45	Facility		$138.35	$358.52	$683.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $18.05 / $33.65	Professional		$3.32	$18.05	$33.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.90 / $195.90 / $195.90	Facility		$195.90	$195.90	$195.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $134.32 / $349.34	Facility		$18.23	$134.32	$349.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $30.55 / $46.62	Professional		$22.96	$30.55	$46.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.71 / $115.03 / $136.22	Facility		$48.71	$115.03	$136.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $215.63	Professional		$206.00	$206.00	$215.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $26.48 / $45.44	Facility		$21.08	$26.48	$45.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $34.40 / $44.24	Professional		$24.58	$34.40	$44.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $49.30 / $67.00	Professional		$15.00	$49.30	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $26.56 / $48.25	Facility		$21.50	$26.56	$48.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $32.65 / $60.78	Professional		$24.18	$32.65	$60.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $25.62 / $39.71	Professional		$19.46	$25.62	$39.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $23.35 / $33.32	Professional		$20.98	$23.35	$33.32