Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $52.84 / $70.44	Facility		$26.71	$52.84	$70.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $37.40	Professional		$26.71	$26.98	$37.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $116.24 / $244.37	Facility		$48.87	$116.24	$244.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $48.86 / $48.86	Professional		$48.86	$48.86	$48.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $80.00	Facility		$20.32	$20.32	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $26.71 / $46.19	Facility		$25.20	$26.71	$46.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $27.72	Professional		$26.71	$26.71	$27.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.47 / $224.95 / $224.95	Facility		$82.47	$224.95	$224.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.12 / $1,801.12 / $1,801.12	Professional		$1,801.12	$1,801.12	$1,801.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.29 / $76.58	Facility		$26.71	$32.29	$76.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $27.24 / $44.07	Professional		$26.71	$27.24	$44.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $28.85 / $88.20	Professional		$21.33	$28.85	$88.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.98 / $76.58	Facility		$26.71	$26.98	$76.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $38.65	Professional		$26.71	$26.71	$38.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $32.14 / $50.03	Facility		$30.32	$32.14	$50.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $29.73	Professional		$26.71	$28.31	$29.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.52 / $37.39	Professional		$26.71	$29.52	$37.39