Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $363.08	Facility		$51.29	$114.82	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $85.11	Professional		$46.77	$60.26	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $43.65	Professional		$5.50	$5.50	$43.65
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 $51.29 / $60.26 / $354.81	Facility		$51.29	$60.26	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $104.71	Professional		$41.69	$87.10	$104.71
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 $398.11 / $588.84 / $588.84	Professional		$398.11	$588.84	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $147.91	Facility		$54.95	$79.43	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $97.72	Professional		$46.77	$63.10	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $177.83	Professional		$79.43	$95.50	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $234.42	Facility		$54.95	$79.43	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $138.04	Professional		$63.10	$83.18	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $53.70	Professional		$33.11	$33.11	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $79.43 / $79.43	Professional		$30.90	$79.43	$79.43