Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $89.13 / $95.50	Facility		$20.89	$89.13	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
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 $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $302.00	Professional		$208.93	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $45.71	Facility		$22.39	$32.36	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $37.15	Professional		$22.91	$32.36	$37.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $295.12	Professional		$218.78	$245.47	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $31.62 / $44.67	Facility		$22.39	$31.62	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $35.48	Professional		$19.05	$24.55	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $38.90	Professional		$36.31	$38.90	$38.90