Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.83 / $33.09	Facility		$30.90	$32.83	$33.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $30.90 / $33.51	Professional		$14.32	$30.90	$33.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
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 $40.54 / $40.54 / $60.08	Facility		$40.54	$40.54	$60.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.21 / $50.78 / $169.95	Professional		$46.21	$50.78	$169.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $165.02 / $193.28	Facility		$85.00	$165.02	$193.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $225.90 / $305.33	Professional		$200.67	$225.90	$305.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $32.83 / $83.28	Facility		$15.59	$32.83	$83.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $41.43 / $41.43	Professional		$41.43	$41.43	$41.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.89 / $61.01	Professional		$22.72	$35.89	$61.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $33.09 / $83.28	Facility		$17.05	$33.09	$83.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $50.12 / $169.95	Professional		$41.43	$50.12	$169.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $17.10 / $28.22	Professional		$2.66	$17.10	$28.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.84 / $21.62	Professional		$9.47	$11.84	$21.62