Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.09 / $54.52 / $138.88	Facility		$22.09	$54.52	$138.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $21.62 / $35.06	Professional		$16.36	$21.62	$35.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $89.12 / $166.55	Facility		$32.14	$89.12	$166.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.07 / $27.47	Professional		$5.00	$16.07	$27.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $29.22 / $80.00	Facility		$29.22	$29.22	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $62.48 / $125.62	Facility		$24.26	$62.48	$125.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $17.34 / $47.02	Professional		$13.63	$17.34	$47.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $138.80 / $138.80	Facility		$50.84	$138.80	$138.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $146.10 / $219.15	Professional		$146.10	$146.10	$219.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $30.92 / $46.52	Facility		$18.41	$30.92	$46.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $29.22 / $43.83	Professional		$25.71	$29.22	$43.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $29.22 / $65.75	Professional		$18.98	$29.22	$65.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $35.94 / $104.69	Facility		$22.21	$35.94	$104.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $26.30 / $45.82	Professional		$13.68	$26.30	$45.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.27 / $18.70	Professional		$11.97	$12.27	$18.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $15.14 / $29.22	Professional		$11.69	$15.14	$29.22