Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $54.95	Facility		$33.88	$37.15	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $56.23	Professional		$33.11	$41.69	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $208.93	Facility		$57.54	$93.33	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $154.88	Facility		$44.67	$44.67	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $151.36	Facility		$38.90	$67.61	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $64.57	Professional		$33.88	$41.69	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Professional		$50.12	$50.12	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $208.93	Professional		$107.15	$141.25	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $158.49	Facility		$38.90	$67.61	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $63.10	Professional		$38.02	$38.02	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $52.48	Facility		$26.92	$38.02	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $77.62	Professional		$26.92	$38.90	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $85.11	Professional		$42.66	$67.61	$85.11