Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $27.80 / $306.81	Facility		$21.58	$27.80	$306.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $27.80 / $44.01	Professional		$22.02	$27.80	$44.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $193.34 / $336.80	Facility		$79.81	$193.34	$336.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $23.88 / $38.61	Professional		$11.32	$23.88	$38.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.27 / $32.35	Facility		$30.20	$30.27	$32.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $94.29 / $281.97	Facility		$40.84	$94.29	$281.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $33.39 / $62.23	Professional		$24.17	$33.39	$62.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $359.91 / $359.91	Facility		$69.45	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $213.10 / $274.95	Professional		$213.10	$213.10	$274.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $33.50 / $55.36	Facility		$25.75	$33.50	$55.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $52.31 / $75.37	Professional		$39.63	$52.31	$75.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $32.54 / $57.93	Professional		$10.62	$32.54	$57.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $35.33 / $76.38	Facility		$26.53	$35.33	$76.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $38.72 / $83.90	Professional		$25.02	$38.72	$83.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $32.22 / $53.28	Professional		$25.57	$32.22	$53.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $30.29 / $43.01	Professional		$27.05	$30.29	$43.01