Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $86.96 / $227.04	Facility		$34.67	$86.96	$227.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $32.82 / $55.92	Professional		$26.10	$32.82	$55.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $157.51 / $252.57	Facility		$53.12	$157.51	$252.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.63 / $65.23	Professional		$5.00	$25.63	$65.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $80.00	Facility		$46.60	$46.60	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $106.90 / $216.83	Facility		$38.69	$106.90	$216.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $44.43 / $85.00	Professional		$24.04	$44.43	$85.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $221.35 / $221.35	Facility		$74.56	$221.35	$221.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $349.50	Professional		$233.00	$233.00	$349.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $46.60 / $74.56	Facility		$28.43	$46.60	$74.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $58.25	Professional		$46.60	$46.60	$58.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $55.92 / $104.85	Professional		$30.29	$55.92	$104.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.35 / $57.31 / $201.89	Facility		$34.35	$57.31	$201.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $53.59 / $83.23	Professional		$24.30	$53.59	$83.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.53 / $33.27	Professional		$19.57	$24.53	$33.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $46.60 / $62.91	Professional		$18.17	$46.60	$62.91