Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.01 / $27.01	Facility		$19.00	$25.01	$27.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $25.01 / $33.34	Professional		$16.57	$25.01	$33.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $42.74 / $104.48	Facility		$28.49	$42.74	$104.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $20.34 / $20.34	Professional		$20.34	$20.34	$20.34
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 $22.87 / $22.87 / $44.62	Facility		$22.87	$22.87	$44.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $77.28 / $179.15 / $180.83	Facility		$77.28	$179.15	$180.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $189.59 / $189.59 / $285.52	Professional		$189.59	$189.59	$285.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $29.80 / $47.49	Facility		$25.01	$29.80	$47.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $36.17 / $38.07	Professional		$32.20	$36.17	$38.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $43.78 / $75.00	Professional		$28.40	$43.78	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $29.98 / $47.69	Facility		$25.01	$29.98	$47.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $31.66	Professional		$19.44	$19.44	$31.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $17.55 / $23.16	Professional		$13.46	$17.55	$23.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $38.07 / $51.39	Professional		$16.89	$38.07	$51.39