Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $181.97	Facility		$25.70	$66.07	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $57.54	Professional		$20.89	$28.18	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $208.93	Facility		$46.77	$117.49	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $47.86	Professional		$5.01	$19.50	$47.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $37.15 / $37.15	Facility		$35.48	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $186.21	Facility		$38.90	$77.62	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $77.62	Professional		$19.95	$27.54	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $100.00	Facility		$26.92	$41.69	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $28.18 / $43.65	Professional		$7.94	$28.18	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $74.13	Professional		$33.88	$38.02	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $56.23 / $123.03	Facility		$27.54	$56.23	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $72.44	Professional		$19.95	$31.62	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $35.48	Facility		$12.59	$14.79	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $29.51	Professional		$14.79	$20.42	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $35.48	Professional		$13.80	$29.51	$35.48