Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $66.54	Facility		$65.88	$65.88	$66.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $70.36	Professional		$65.88	$65.88	$70.36
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
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 $62.15 / $65.88 / $65.88	Facility		$62.15	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $282.77 / $360.00	Facility		$178.50	$282.77	$360.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,978.60 / $3,978.60 / $3,978.60	Professional		$3,978.60	$3,978.60	$3,978.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $66.34 / $139.66	Facility		$65.88	$66.34	$139.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $82.35	Professional		$65.88	$65.88	$82.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $144.10 / $302.94	Professional		$71.15	$144.10	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $139.66	Facility		$65.88	$65.88	$139.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $80.06	Professional		$65.88	$65.88	$80.06
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $65.88 / $88.94	Professional		$64.05	$65.88	$88.94