Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $107.78 / $302.06	Facility		$41.22	$107.78	$302.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $45.52 / $75.28	Professional		$34.45	$45.52	$75.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $32.61 / $54.75	Professional		$5.00	$32.61	$54.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $80.00	Facility		$61.52	$61.52	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $134.37 / $272.98	Facility		$42.87	$134.37	$272.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $58.59 / $96.98	Professional		$31.20	$58.59	$96.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.72 / $292.22 / $292.22	Facility		$150.72	$292.22	$292.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $307.60 / $461.40	Professional		$307.60	$307.60	$461.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $61.52 / $92.28	Facility		$37.53	$61.52	$92.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $76.90	Professional		$61.52	$61.52	$76.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $73.81 / $138.41	Professional		$39.99	$73.81	$138.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $72.25 / $206.09	Facility		$42.12	$72.25	$206.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $70.75 / $96.98	Professional		$31.29	$70.75	$96.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $37.90	Professional		$25.84	$25.84	$37.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $61.52 / $83.05	Professional		$23.99	$61.52	$83.05