Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $245.47	Facility		$38.90	$95.50	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $67.61	Professional		$30.90	$41.69	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $165.96 / $302.00	Facility		$70.79	$165.96	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $28.18 / $69.18	Professional		$5.01	$28.18	$69.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $79.43	Facility		$51.29	$51.29	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $257.04	Facility		$57.54	$112.20	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $112.20	Professional		$28.84	$39.81	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $389.05	Professional		$295.12	$389.05	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $102.33	Facility		$38.90	$51.29	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $40.74 / $64.57	Professional		$7.94	$40.74	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $51.29	Professional		$42.66	$42.66	$51.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $109.65	Professional		$50.12	$54.95	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $72.44 / $169.82	Facility		$38.90	$72.44	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $104.71	Professional		$28.84	$42.66	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $51.29	Facility		$18.62	$21.38	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $43.65	Professional		$21.38	$30.20	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $42.66 / $51.29	Professional		$19.95	$42.66	$51.29