Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $223.87	Facility		$20.89	$26.92	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $46.77	Professional		$21.88	$28.84	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $213.80 / $338.84	Facility		$95.50	$213.80	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.92 / $37.15	Professional		$10.72	$26.92	$37.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Facility		$30.20	$30.20	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $93.33 / $245.47	Facility		$33.88	$93.33	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $64.57	Professional		$23.99	$33.88	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $363.08	Facility		$213.80	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $275.42	Professional		$213.80	$275.42	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $69.18	Facility		$26.92	$38.90	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $69.18	Professional		$23.99	$33.11	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $33.11	Professional		$7.59	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $89.13	Professional		$47.86	$63.10	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $79.43	Facility		$26.92	$39.81	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $74.13	Professional		$23.99	$33.88	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $51.29	Professional		$25.70	$30.90	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $38.02	Professional		$30.90	$32.36	$38.02