Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $204.17 / $549.54	Facility		$72.44	$204.17	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $79.43	Professional		$48.98	$67.61	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $154.88 / $288.40	Facility		$69.18	$154.88	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
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 $54.95 / $56.23 / $125.89	Facility		$54.95	$56.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $354.81	Professional		$46.77	$56.23	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $602.56	Professional		$436.52	$602.56	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $194.98	Facility		$53.70	$75.86	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $77.62	Professional		$52.48	$67.61	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,659.59	Professional		$1,230.27	$1,412.54	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $138.04	Facility		$52.48	$74.13	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $354.81	Professional		$77.62	$162.18	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $208.93 / $275.42	Facility		$47.86	$208.93	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $125.89	Professional		$60.26	$74.13	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90