Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $77.23 / $78.72	Facility		$75.75	$77.23	$78.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $78.72 / $131.77	Professional		$74.26	$78.72	$131.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $100.99 / $100.99	Professional		$100.99	$100.99	$100.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.61 / $169.61 / $169.61	Facility		$169.61	$169.61	$169.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.18 / $878.76 / $878.76	Facility		$322.18	$878.76	$878.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.39 / $1,011.39 / $1,398.75	Professional		$1,011.39	$1,011.39	$1,398.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $117.13 / $169.61	Facility		$54.63	$117.13	$169.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $154.66 / $195.27	Professional		$54.63	$154.66	$195.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $186.57 / $381.62	Professional		$169.61	$186.57	$381.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.63 / $118.20 / $169.61	Facility		$54.63	$118.20	$169.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $127.99	Professional		$87.64	$87.64	$127.99
United Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $102.39 / $121.39	Professional		$70.52	$102.39	$121.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $101.61 / $169.61	Professional		$99.32	$101.61	$169.61