Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $94.42 / $209.25	Facility		$49.07	$94.42	$209.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $79.39 / $113.45	Professional		$47.38	$79.39	$113.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $97.64 / $393.15	Facility		$55.25	$97.64	$393.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $82.92 / $140.43	Professional		$45.48	$82.92	$140.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $43.59 / $43.59	Facility		$43.59	$43.59	$43.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $91.01 / $91.01	Facility		$91.01	$91.01	$91.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $92.90 / $158.94	Professional		$52.75	$92.90	$158.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $399.70 / $9,102.00 / $11,500.00	Facility		$399.70	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $634.24 / $740.18	Professional		$480.00	$634.24	$740.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $91.61 / $175.39	Facility		$51.18	$91.61	$175.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $93.93 / $149.43	Professional		$63.08	$93.93	$149.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $86.79 / $113.00	Professional		$45.63	$86.79	$113.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $93.50 / $183.01	Facility		$51.07	$93.50	$183.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $97.40 / $163.52	Professional		$54.86	$97.40	$163.52
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $95.09 / $144.79	Professional		$70.62	$95.09	$144.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $81.76 / $115.80	Professional		$72.88	$81.76	$115.80