Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $23.53 / $23.53	Facility		$22.95	$23.53	$23.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $23.53 / $24.39	Professional		$22.95	$23.53	$24.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $45.43 / $96.40	Facility		$19.09	$45.43	$96.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $107.59	Facility		$80.00	$85.00	$107.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $109.02 / $129.11	Professional		$109.02	$109.02	$129.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $49.88	Facility		$16.91	$16.91	$49.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $38.04 / $302.94	Professional		$18.60	$38.04	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.95 / $49.88	Facility		$16.91	$22.95	$49.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $38.72	Professional		$28.69	$28.69	$38.72