Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $71.70 / $77.68	Facility		$68.70	$71.70	$77.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $54.13 / $76.39	Professional		$50.58	$54.13	$76.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $62.64 / $97.48	Professional		$48.96	$62.64	$97.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $72.36	Facility		$72.36	$72.36	$72.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $80.09 / $137.55	Professional		$56.77	$80.09	$137.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $284.58 / $309.13	Facility		$139.00	$284.58	$309.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.24 / $404.24 / $404.24	Professional		$404.24	$404.24	$404.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $66.94 / $134.44	Facility		$51.15	$66.94	$134.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $86.84 / $113.11	Professional		$69.93	$86.84	$113.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $129.60 / $161.10	Professional		$112.70	$129.60	$161.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $67.01 / $143.36	Facility		$51.09	$67.01	$143.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $85.97 / $155.94	Professional		$60.33	$85.97	$155.94
United Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $71.51 / $112.25	Professional		$52.01	$71.51	$112.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $61.02 / $83.65	Professional		$51.90	$61.02	$83.65