Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $61.66	Facility		$60.26	$60.26	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $70.79	Professional		$45.71	$56.23	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $524.81	Professional		$371.54	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $123.03	Facility		$50.12	$61.66	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $77.62	Professional		$44.67	$54.95	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $169.82	Professional		$0.60	$30.20	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $123.03	Facility		$46.77	$61.66	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $104.71	Professional		$83.18	$83.18	$104.71