Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $170.32 / $477.35	Facility		$64.17	$170.32	$477.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $71.94 / $116.66	Professional		$54.44	$71.94	$116.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.50 / $65.14	Professional		$4.67	$5.50	$65.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.22 / $97.22	Facility		$80.00	$97.22	$97.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $212.32 / $430.46	Facility		$73.78	$212.32	$430.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $92.39 / $153.10	Professional		$49.28	$92.39	$153.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $461.80 / $461.80	Facility		$189.24	$461.80	$461.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.10 / $486.10 / $729.15	Professional		$486.10	$486.10	$729.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $97.22 / $145.83	Facility		$61.25	$97.22	$145.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $97.22 / $121.53	Professional		$92.36	$97.22	$121.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $116.66 / $218.75	Professional		$63.19	$116.66	$218.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $111.80 / $325.69	Facility		$68.05	$111.80	$325.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $111.80 / $153.10	Professional		$49.51	$111.80	$153.10
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $66.84	Professional		$40.83	$40.83	$66.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $97.22 / $131.25	Professional		$37.92	$97.22	$131.25