Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $96.24 / $254.09	Facility		$39.36	$96.24	$254.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $39.57 / $63.46	Professional		$29.94	$39.57	$63.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $152.91 / $299.43	Facility		$58.82	$152.91	$299.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $28.34 / $42.78	Professional		$5.00	$28.34	$42.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $80.00	Facility		$53.47	$53.47	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $111.93 / $238.53	Facility		$40.85	$111.93	$238.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $33.88 / $84.00	Professional		$23.35	$33.88	$84.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.04 / $253.98 / $253.98	Facility		$93.04	$253.98	$253.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $287.45 / $401.03	Professional		$287.45	$287.45	$401.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $56.78 / $89.45	Facility		$35.69	$56.78	$89.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $53.47 / $66.84	Professional		$50.44	$53.47	$66.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $64.16 / $120.31	Professional		$34.76	$64.16	$120.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $61.82 / $161.24	Facility		$37.43	$61.82	$161.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $50.07 / $82.79	Professional		$23.78	$50.07	$82.79
United Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $53.47 / $64.16	Facility		$21.03	$53.47	$64.16
United Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $22.46 / $38.18	Professional		$20.03	$22.46	$38.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $27.70 / $53.47	Professional		$21.39	$27.70	$53.47