Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $95.50 / $363.08	Facility		$45.71	$95.50	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $91.20	Professional		$25.70	$58.88	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $204.17 / $389.05	Facility		$75.86	$204.17	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $42.66 / $102.33	Professional		$5.01	$42.66	$102.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $75.86 / $75.86	Facility		$25.12	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $112.20 / $323.59	Facility		$24.55	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $42.66 / $125.89	Professional		$14.45	$42.66	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $562.34	Professional		$380.19	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $134.90	Facility		$52.48	$74.13	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $60.26 / $89.13	Professional		$7.94	$60.26	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $72.44	Professional		$56.23	$63.10	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $162.18	Professional		$75.86	$81.28	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $173.78	Facility		$45.71	$75.86	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $39.81 / $125.89	Professional		$14.13	$39.81	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $75.86	Facility		$15.14	$26.92	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $45.71	Professional		$12.59	$31.62	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $75.86	Professional		$29.51	$63.10	$75.86