Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $76.09 / $213.24	Facility		$32.83	$76.09	$213.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $31.27 / $34.74	Professional		$26.06	$31.27	$34.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $92.45 / $159.08	Facility		$36.22	$92.45	$159.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Professional		$43.43	$43.43	$43.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Facility		$34.39	$34.39	$34.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $101.93 / $193.27	Facility		$28.23	$101.93	$193.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $52.97 / $63.47	Professional		$52.97	$52.97	$63.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $206.29 / $206.29	Facility		$69.48	$206.29	$206.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $216.28 / $325.73	Professional		$216.28	$216.28	$325.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $43.43 / $63.33	Facility		$26.06	$43.43	$63.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $54.29	Professional		$43.43	$43.43	$54.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $59.93 / $152.00	Professional		$43.43	$59.93	$152.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $100.15 / $229.95	Facility		$30.07	$100.15	$229.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $52.55 / $76.00	Professional		$40.96	$52.55	$76.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $35.93	Professional		$18.23	$18.23	$35.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $43.43	Professional		$4.59	$4.59	$43.43