Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $154.88 / $404.34	Facility		$61.75	$154.88	$404.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $59.76 / $99.60	Professional		$46.48	$59.76	$99.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $249.00 / $438.24	Facility		$97.84	$249.00	$438.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $45.65 / $116.20	Professional		$5.00	$45.65	$116.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $83.00 / $83.00	Facility		$80.00	$83.00	$83.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $189.79 / $369.90	Facility		$57.87	$189.79	$369.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $78.87 / $151.00	Professional		$41.91	$78.87	$151.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.35 / $394.25 / $394.25	Facility		$203.35	$394.25	$394.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $622.50	Professional		$415.00	$415.00	$622.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $83.00 / $132.80	Facility		$52.29	$83.00	$132.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $107.85	Professional		$83.00	$83.00	$107.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $99.60 / $186.75	Professional		$53.95	$99.60	$186.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $97.48 / $322.08	Facility		$58.10	$97.48	$322.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $95.45 / $141.47	Professional		$42.33	$95.45	$141.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $34.88 / $53.12	Professional		$33.02	$34.88	$53.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.00 / $112.05	Professional		$32.36	$83.00	$112.05