Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.75 / $182.65 / $543.87	Facility		$71.75	$182.65	$543.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $68.98 / $75.84	Professional		$49.32	$68.98	$75.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $153.41 / $286.77	Facility		$66.56	$153.41	$286.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Professional		$18.95	$18.95	$18.95
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 $50.10 / $55.01 / $81.28	Facility		$50.10	$55.01	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $49.12 / $338.32	Professional		$44.69	$49.12	$338.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.05 / $328.49 / $375.77	Facility		$170.05	$328.49	$375.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.48 / $440.48 / $606.45	Professional		$440.48	$440.48	$606.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $73.19 / $157.21	Facility		$52.99	$73.19	$157.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $75.94 / $75.94	Professional		$75.94	$75.94	$75.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $421.00 / $712.73	Professional		$269.35	$421.00	$712.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $73.19 / $157.21	Facility		$55.01	$73.19	$157.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $139.28 / $338.32	Professional		$75.94	$139.28	$338.32
United Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $74.70 / $127.01	Professional		$59.77	$74.70	$127.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $33.63	Professional		$24.91	$24.91	$33.63