Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $154.53 / $433.06	Facility		$58.21	$154.53	$433.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $61.74 / $105.84	Professional		$49.39	$61.74	$105.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $277.83 / $528.32	Facility		$95.26	$277.83	$528.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $48.51 / $52.04	Professional		$5.00	$48.51	$52.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $88.20 / $88.20	Facility		$88.20	$88.20	$88.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $165.68 / $375.18	Facility		$45.13	$165.68	$375.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $83.70 / $138.93	Professional		$44.72	$83.70	$138.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.62 / $418.95 / $418.95	Facility		$167.62	$418.95	$418.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $441.00 / $661.50	Professional		$441.00	$441.00	$661.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $88.20 / $132.30	Facility		$55.57	$88.20	$132.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $88.20 / $110.25	Professional		$83.79	$88.20	$110.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $105.84 / $198.45	Professional		$57.33	$105.84	$198.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $99.36 / $294.19	Facility		$51.86	$99.36	$294.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $101.43 / $138.93	Professional		$44.91	$101.43	$138.93
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $62.97	Professional		$37.04	$37.04	$62.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $88.20 / $119.07	Professional		$34.40	$88.20	$119.07