Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $93.36 / $801.00	Facility		$47.42	$93.36	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $74.83 / $105.55	Professional		$62.33	$74.83	$105.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $222.81 / $424.54	Facility		$94.45	$222.81	$424.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $72.53 / $76.39	Facility		$63.49	$72.53	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $88.44 / $266.00	Facility		$79.27	$88.44	$266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $94.87 / $147.43	Professional		$63.56	$94.87	$147.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $318.56 / $372.69	Facility		$137.80	$318.56	$372.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $484.81 / $484.81 / $586.13	Professional		$484.81	$484.81	$586.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.56 / $87.73 / $135.63	Facility		$63.56	$87.73	$135.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $100.44 / $124.55	Professional		$77.00	$100.44	$124.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $82.25 / $150.16	Professional		$67.16	$82.25	$150.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.56 / $87.96 / $143.29	Facility		$63.56	$87.96	$143.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $102.58 / $181.44	Professional		$68.01	$102.58	$181.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $83.09 / $128.77	Professional		$63.14	$83.09	$128.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $66.77 / $90.83	Professional		$57.15	$66.77	$90.83