Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $95.50	Professional		$52.48	$61.66	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $977.24	Professional		$933.25	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $173.78	Facility		$54.95	$100.00	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $120.23	Professional		$54.95	$61.66	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $74.13	Professional		$64.57	$64.57	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $177.83	Facility		$54.95	$95.50	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $141.25	Facility		$38.90	$61.66	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $89.13	Professional		$51.29	$74.13	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89