Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.42 / $68.98 / $109.19	Facility		$35.42	$68.98	$109.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $71.08 / $113.39	Professional		$39.81	$71.08	$113.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $77.50 / $122.18	Professional		$40.35	$77.50	$122.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $80.00	Facility		$37.86	$37.86	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $89.26 / $151.79	Professional		$47.91	$89.26	$151.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $216.51	Facility		$55.00	$55.00	$216.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $643.36 / $767.78	Professional		$340.74	$643.36	$767.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $80.70 / $127.10	Facility		$42.78	$80.70	$127.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $80.02 / $156.47	Professional		$55.93	$80.02	$156.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Professional		$91.90	$91.90	$91.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $81.16 / $127.64	Facility		$42.81	$81.16	$127.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $90.41 / $158.69	Professional		$49.04	$90.41	$158.69
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 $65.90 / $88.21 / $136.35	Professional		$65.90	$88.21	$136.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $83.99 / $118.44	Professional		$74.81	$83.99	$118.44