Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $89.47 / $250.75	Facility		$35.08	$89.47	$250.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $38.81 / $71.81	Professional		$30.64	$38.81	$71.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $130.22 / $307.44	Facility		$66.90	$130.22	$307.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.09 / $71.50	Professional		$5.00	$28.09	$71.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $80.00	Facility		$51.07	$51.07	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $119.88 / $227.98	Facility		$55.69	$119.88	$227.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $48.61 / $80.63	Professional		$25.89	$48.61	$80.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $242.58 / $242.58	Facility		$99.41	$242.58	$242.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $383.03	Professional		$263.00	$263.00	$383.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $51.07 / $76.61	Facility		$32.17	$51.07	$76.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $51.07 / $63.84	Professional		$48.52	$51.07	$63.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $61.28 / $114.91	Professional		$33.20	$61.28	$114.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $64.01 / $215.02	Facility		$35.75	$64.01	$215.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $58.73 / $87.12	Professional		$26.14	$58.73	$87.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $32.68	Professional		$21.45	$21.45	$32.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $51.07 / $68.94	Professional		$19.92	$51.07	$68.94