Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $65.47 / $172.29	Facility		$26.53	$65.47	$172.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.05 / $53.79	Professional		$21.05	$26.05	$53.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $112.66 / $211.24	Facility		$43.33	$112.66	$211.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.61 / $35.61	Facility		$35.09	$35.61	$35.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $80.56 / $186.82	Facility		$40.20	$80.56	$186.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.01 / $77.45	Professional		$19.88	$26.01	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $167.46 / $167.46	Facility		$73.45	$167.46	$167.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $379.89 / $379.89	Professional		$379.89	$379.89	$379.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $47.37 / $87.97	Facility		$27.37	$47.37	$87.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $48.69	Professional		$35.09	$35.09	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $38.60 / $63.86	Professional		$33.34	$38.60	$63.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $56.40 / $127.08	Facility		$28.80	$56.40	$127.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.74 / $68.23	Professional		$20.26	$34.74	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $29.83	Professional		$14.74	$20.60	$29.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09