Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $67.18 / $748.35	Facility		$52.26	$67.18	$748.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $60.83 / $110.61	Professional		$34.20	$60.83	$110.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $99.53 / $177.95	Facility		$34.61	$99.53	$177.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $56.25 / $79.34	Professional		$24.00	$56.25	$79.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $74.48 / $79.42	Facility		$73.94	$74.48	$79.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $111.23 / $123.36	Facility		$45.58	$111.23	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $66.90 / $115.05	Professional		$35.86	$66.90	$115.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.19 / $361.81 / $421.28	Facility		$166.19	$361.81	$421.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $898.00 / $898.00 / $898.00	Professional		$898.00	$898.00	$898.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $84.06 / $155.30	Facility		$45.79	$84.06	$155.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $115.97 / $137.34	Professional		$51.59	$115.97	$137.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $119.20 / $119.20	Professional		$119.20	$119.20	$119.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $85.41 / $165.79	Facility		$46.52	$85.41	$165.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $68.95 / $139.18	Professional		$35.86	$68.95	$139.18
United Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $129.16 / $129.16	Facility		$129.16	$129.16	$129.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $69.83 / $114.99	Professional		$37.88	$69.83	$114.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $74.23 / $105.10	Professional		$65.98	$74.23	$105.10