Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $42.91 / $43.73	Facility		$42.08	$42.91	$43.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $43.73 / $70.95	Professional		$41.26	$43.73	$70.95
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 $56.11 / $56.11 / $56.11	Professional		$56.11	$56.11	$56.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $94.23 / $94.23	Facility		$94.23	$94.23	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $81.37	Professional		$59.40	$59.40	$81.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.75 / $494.49 / $596.79	Facility		$279.75	$494.49	$596.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $884.34 / $905.58 / $905.58	Professional		$884.34	$905.58	$905.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $65.51 / $94.23	Facility		$30.34	$65.51	$94.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $85.89 / $95.11	Professional		$30.34	$85.89	$95.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $103.65 / $212.02	Professional		$94.23	$103.65	$212.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $65.66 / $94.23	Facility		$30.34	$65.66	$94.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $81.37	Professional		$59.40	$59.40	$81.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $56.64 / $67.43	Professional		$39.18	$56.64	$67.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $57.29 / $94.23	Professional		$56.44	$57.29	$94.23