Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $138.41 / $408.87	Facility		$47.40	$138.41	$408.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $48.98 / $67.15	Professional		$47.40	$48.98	$67.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $43.45	Professional		$5.50	$5.50	$43.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $185.41 / $418.56	Facility		$50.91	$185.41	$418.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $87.45 / $104.78	Professional		$41.87	$87.45	$104.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $375.25 / $375.25	Facility		$126.40	$375.25	$375.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $395.00 / $592.50	Professional		$395.00	$395.00	$592.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $79.00 / $110.54	Facility		$47.40	$79.00	$110.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $79.00 / $98.75	Professional		$75.05	$79.00	$98.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $98.75 / $177.75	Professional		$71.09	$98.75	$177.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.90 / $79.00 / $238.43	Facility		$52.90	$79.00	$238.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $94.80 / $138.25	Professional		$63.20	$94.80	$138.25
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $33.18 / $48.66	Professional		$33.18	$33.18	$48.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $31.60 / $79.00	Professional		$31.60	$31.60	$79.00