Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $46.99 / $47.89	Facility		$46.08	$46.99	$47.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $47.89 / $77.70	Professional		$43.62	$47.89	$77.70
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 $49.11 / $49.11 / $61.44	Professional		$49.11	$49.11	$61.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.19 / $103.19 / $103.19	Facility		$103.19	$103.19	$103.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Professional		$41.84	$41.84	$41.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $478.20 / $478.20	Facility		$172.52	$478.20	$478.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $516.82 / $516.82 / $751.88	Professional		$516.82	$516.82	$751.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $68.97 / $103.19	Facility		$29.54	$68.97	$103.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $92.87 / $103.19	Professional		$29.54	$92.87	$103.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $105.25 / $232.18	Professional		$78.94	$105.25	$232.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $62.06 / $103.19	Facility		$29.54	$62.06	$103.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $83.35	Professional		$41.84	$41.84	$83.35
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $103.97 / $122.32	Facility		$103.97	$103.97	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $55.15 / $65.65	Professional		$38.14	$55.15	$65.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $54.96 / $103.19	Professional		$53.72	$54.96	$103.19