Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $58.88	Facility		$28.18	$46.77	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $79.43	Professional		$30.20	$48.98	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $70.79	Professional		$28.18	$48.98	$70.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $79.43	Facility		$26.30	$26.30	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $100.00	Professional		$34.67	$58.88	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $102.33	Facility		$30.20	$57.54	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $93.33	Professional		$30.20	$46.77	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $48.98	Professional		$25.70	$33.11	$48.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Professional		$57.54	$57.54	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $109.65	Facility		$32.36	$58.88	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $100.00	Professional		$33.88	$58.88	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,047.13 / $2,691.53	Facility		$144.54	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $75.86	Professional		$28.84	$46.77	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $54.95	Professional		$52.48	$54.95	$54.95