Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $127.22 / $137.40	Professional		$127.22	$127.22	$137.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.55 / $294.61 / $526.67	Facility		$100.55	$294.61	$526.67
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 Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $128.13 / $286.25	Facility		$127.22	$128.13	$286.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $221.05 / $368.48	Professional		$201.61	$221.05	$368.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $128.13 / $269.70	Facility		$127.22	$128.13	$269.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $40.44 / $56.62	Professional		$40.44	$40.44	$56.62