Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $204.17	Facility		$30.20	$75.86	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $41.69	Professional		$19.95	$32.36	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $102.33 / $177.83	Facility		$36.31	$102.33	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $61.66 / $194.98	Facility		$28.18	$61.66	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $323.59	Professional		$218.78	$323.59	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $81.28	Facility		$28.84	$43.65	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $52.48	Professional		$23.99	$33.88	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $93.33	Professional		$43.65	$56.23	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $120.23	Facility		$26.92	$43.65	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $79.43	Professional		$41.69	$53.70	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $43.65	Facility		$15.49	$18.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $30.20	Professional		$18.20	$18.20	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $43.65	Professional		$3.63	$3.63	$43.65