Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $100.32 / $264.89	Facility		$40.13	$100.32	$264.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $40.13 / $66.89	Professional		$31.21	$40.13	$66.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $162.19 / $312.14	Facility		$61.31	$162.19	$312.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $29.54 / $30.66	Professional		$5.00	$29.54	$30.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $80.00	Facility		$55.74	$55.74	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $121.54 / $247.63	Facility		$48.67	$121.54	$247.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $35.33 / $94.90	Professional		$26.79	$35.33	$94.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $264.77 / $264.77	Facility		$96.99	$264.77	$264.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.25 / $343.25 / $418.05	Professional		$343.25	$343.25	$418.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $64.09 / $94.92	Facility		$37.18	$64.09	$94.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $55.74 / $69.68	Professional		$52.58	$55.74	$69.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $61.31 / $101.45	Professional		$52.95	$61.31	$101.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $69.68 / $186.73	Facility		$41.25	$69.68	$186.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $52.58 / $93.50	Professional		$27.01	$52.58	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $24.50 / $38.32	Professional		$23.41	$24.50	$38.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $28.87 / $55.74	Professional		$22.30	$28.87	$55.74