Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $91.20	Facility		$50.12	$72.44	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $109.65	Professional		$42.66	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $114.82	Professional		$44.67	$70.79	$114.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Professional		$51.29	$79.43	$138.04
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 $549.54 / $645.65 / $645.65	Professional		$549.54	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $138.04	Facility		$43.65	$77.62	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $128.82	Professional		$45.71	$72.44	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Professional		$32.36	$33.11	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $120.23 / $204.17	Professional		$3.02	$120.23	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $141.25	Facility		$43.65	$77.62	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $138.04	Professional		$51.29	$81.28	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $107.15	Professional		$43.65	$64.57	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $74.13	Professional		$70.79	$74.13	$74.13