Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.63 / $101.44 / $101.44	Facility		$99.63	$101.44	$101.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $94.48 / $104.42	Professional		$45.29	$94.48	$104.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $45.35 / $45.35	Professional		$38.54	$45.35	$45.35
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 $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.62 / $127.75	Professional		$21.97	$27.62	$127.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $260.39 / $298.06	Facility		$119.30	$260.39	$298.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $442.64 / $442.64 / $480.23	Professional		$442.64	$442.64	$480.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $67.98 / $131.87	Facility		$48.05	$67.98	$131.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $57.88 / $57.88	Professional		$57.88	$57.88	$57.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $145.26 / $169.26	Professional		$80.59	$145.26	$169.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.77 / $78.69 / $165.63	Facility		$48.77	$78.69	$165.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $92.20 / $240.24	Professional		$46.30	$92.20	$240.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $102.86 / $167.02	Professional		$76.53	$102.86	$167.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $61.81 / $236.16	Professional		$58.92	$61.81	$236.16