Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $63.76 / $64.91	Facility		$60.45	$63.76	$64.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $60.45 / $64.91	Professional		$43.82	$60.45	$64.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $30.56 / $51.03	Professional		$30.56	$30.56	$51.03
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 $33.01 / $33.49 / $43.04	Facility		$33.01	$33.49	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $97.40 / $264.38	Professional		$88.63	$97.40	$264.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.42 / $202.96 / $357.06	Facility		$178.42	$202.96	$357.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.28 / $565.67 / $574.88	Professional		$483.28	$565.67	$574.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $60.45 / $121.14	Facility		$46.13	$60.45	$121.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $73.14	Professional		$51.50	$51.50	$73.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $173.84 / $296.49	Professional		$164.85	$173.84	$296.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $62.30 / $128.15	Facility		$45.89	$62.30	$128.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $134.72 / $152.18	Professional		$73.14	$134.72	$152.18
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,000.00 / $8,792.00	Facility		$350.00	$2,000.00	$8,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $50.33 / $79.90	Professional		$36.22	$50.33	$79.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $67.28 / $72.95	Professional		$51.50	$67.28	$72.95