Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $91.94 / $359.28	Facility		$45.36	$91.94	$359.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $52.92 / $90.72	Professional		$42.34	$52.92	$90.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $171.61 / $387.83	Facility		$75.59	$171.61	$387.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $40.07 / $105.84	Professional		$5.00	$40.07	$105.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $75.59	Facility		$75.59	$75.59	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $130.68 / $321.79	Facility		$24.55	$130.68	$321.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $38.81 / $114.89	Professional		$14.32	$38.81	$114.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $359.10 / $359.10	Facility		$120.96	$359.10	$359.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $567.00	Professional		$378.00	$378.00	$567.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $75.59 / $90.72	Facility		$52.92	$75.59	$90.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $75.59 / $75.59	Professional		$68.04	$75.59	$75.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $94.50 / $170.10	Professional		$75.59	$94.50	$170.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $75.59 / $138.57	Facility		$45.36	$75.59	$138.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $40.07 / $109.76	Professional		$14.32	$40.07	$109.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $31.75 / $45.36	Professional		$12.57	$31.75	$45.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $30.24 / $75.59	Professional		$29.48	$30.24	$75.59