Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $33.61 / $351.00	Facility		$24.66	$33.61	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $32.04 / $49.10	Professional		$25.36	$32.04	$49.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.85 / $308.86 / $380.69	Facility		$229.85	$308.86	$380.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $26.38 / $37.20	Professional		$6.13	$26.38	$37.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.52 / $36.65	Facility		$34.45	$34.52	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $119.53 / $281.97	Facility		$56.59	$119.53	$281.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $39.04 / $72.98	Professional		$28.28	$39.04	$72.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $359.91 / $359.91	Facility		$79.34	$359.91	$359.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $243.52 / $315.00	Professional		$243.52	$243.52	$315.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $41.77 / $69.65	Facility		$30.35	$41.77	$69.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $59.78 / $144.91	Professional		$45.29	$59.78	$144.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $82.90 / $103.10	Professional		$57.60	$82.90	$103.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $43.65 / $93.81	Facility		$30.82	$43.65	$93.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $45.12 / $97.91	Professional		$29.35	$45.12	$97.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $37.10 / $59.11	Professional		$30.82	$37.10	$59.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $34.53 / $49.17	Professional		$30.92	$34.53	$49.17