Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $35.79 / $54.67	Facility		$23.43	$35.79	$54.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $39.58 / $63.16	Professional		$26.53	$39.58	$63.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $30.59 / $37.64	Facility		$22.01	$30.59	$37.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $39.29 / $61.06	Professional		$25.37	$39.29	$61.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $25.41 / $80.00	Facility		$25.41	$25.41	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $49.81 / $87.46	Professional		$31.02	$49.81	$87.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $135.85	Facility		$55.00	$55.00	$135.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $321.92 / $364.20	Professional		$205.04	$321.92	$364.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $46.32 / $76.12	Facility		$28.19	$46.32	$76.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $49.94 / $76.22	Professional		$34.90	$49.94	$76.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $46.87 / $76.37	Facility		$28.19	$46.87	$76.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $52.48 / $88.35	Professional		$31.66	$52.48	$88.35
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $48.83 / $76.25	Professional		$35.51	$48.83	$76.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $41.35 / $57.92	Professional		$36.44	$41.35	$57.92