Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $55.03 / $164.18	Facility		$21.66	$55.03	$164.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $20.53 / $23.11	Professional		$14.86	$20.53	$23.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $66.06 / $123.42	Facility		$28.66	$66.06	$123.42
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 $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $24.56 / $91.97	Professional		$22.35	$24.56	$91.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $139.74 / $172.05	Facility		$89.29	$139.74	$172.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $229.77 / $232.70	Professional		$124.17	$229.77	$232.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $22.04 / $61.48	Facility		$17.94	$22.04	$61.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $41.08 / $41.08	Professional		$41.08	$41.08	$41.08
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 $17.41 / $22.01 / $61.48	Facility		$17.41	$22.01	$61.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $31.26 / $91.97	Professional		$28.09	$31.26	$91.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $22.74 / $37.85	Professional		$18.22	$22.74	$37.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $24.91 / $33.63	Professional		$24.91	$24.91	$33.63