Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $73.13 / $89.92	Facility		$56.38	$73.13	$89.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $73.13 / $106.18	Professional		$56.38	$73.13	$106.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $99.19 / $160.19	Facility		$41.03	$99.19	$160.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $31.02 / $101.61	Professional		$23.19	$31.02	$101.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Facility		$29.92	$29.92	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.96 / $265.83 / $294.88	Facility		$108.96	$265.83	$294.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $89.90 / $166.64	Professional		$68.80	$89.90	$166.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $456.19 / $740.25	Facility		$183.77	$456.19	$740.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $798.89 / $798.89	Professional		$732.60	$798.89	$798.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $108.12 / $157.50	Facility		$32.29	$108.12	$157.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $54.16 / $80.94	Professional		$29.92	$54.16	$80.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $145.90	Professional		$145.90	$145.90	$145.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $110.49 / $160.03	Facility		$32.40	$110.49	$160.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $89.86 / $176.34	Professional		$61.03	$89.86	$176.34
United Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Facility		$73.04	$73.04	$73.04
United Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $95.91 / $140.97	Professional		$71.80	$95.91	$140.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $84.99 / $112.28	Professional		$79.45	$84.99	$112.28