Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $92.52 / $243.49	Facility		$36.90	$92.52	$243.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $36.70 / $63.59	Professional		$27.77	$36.70	$63.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $158.19 / $277.33	Facility		$63.97	$158.19	$277.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $61.00 / $69.43	Professional		$5.00	$61.00	$69.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $49.59 / $80.00	Facility		$49.59	$49.59	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $115.34 / $251.19	Facility		$44.82	$115.34	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $47.00 / $98.00	Professional		$25.46	$47.00	$98.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.26 / $235.55 / $235.55	Facility		$107.26	$235.55	$235.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $247.95 / $247.95 / $371.93	Professional		$247.95	$247.95	$371.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $49.59 / $84.44	Facility		$30.25	$49.59	$84.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $61.99	Professional		$49.59	$49.59	$61.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $59.51 / $111.58	Professional		$32.22	$59.51	$111.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $60.89 / $213.86	Facility		$36.70	$60.89	$213.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $57.03 / $89.97	Professional		$28.16	$57.03	$89.97
United Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $20.83 / $49.59	Facility		$17.85	$20.83	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.41 / $40.59	Professional		$20.83	$28.41	$40.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $49.59 / $66.95	Professional		$19.34	$49.59	$66.95