Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $51.33 / $52.32	Facility		$50.35	$51.33	$52.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $55.28 / $92.72	Professional		$50.35	$55.28	$92.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $83.21 / $83.21	Professional		$64.26	$83.21	$83.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $86.99 / $86.99	Facility		$86.99	$86.99	$86.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $76.68	Professional		$55.98	$55.98	$76.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $469.03 / $469.03	Facility		$188.17	$469.03	$469.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $668.30 / $668.30 / $722.25	Professional		$668.30	$668.30	$722.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $86.99 / $124.23	Facility		$46.25	$86.99	$124.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $80.03 / $100.04	Professional		$46.25	$80.03	$100.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $91.34 / $175.10	Professional		$80.41	$91.34	$175.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $86.99 / $121.44	Facility		$46.25	$86.99	$121.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $81.73	Professional		$55.98	$55.98	$81.73
United Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $71.01 / $83.59	Facility		$55.04	$71.01	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $88.33 / $102.78	Professional		$59.71	$88.33	$102.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $86.04 / $86.99	Professional		$84.10	$86.04	$86.99