Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $138.04	Facility		$21.88	$54.95	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $34.67	Professional		$15.85	$22.91	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $158.49	Facility		$34.67	$91.20	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.22 / $26.92	Professional		$5.01	$16.22	$26.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $79.43	Facility		$29.51	$29.51	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $123.03	Facility		$23.99	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $46.77	Professional		$13.49	$19.50	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $218.78	Professional		$144.54	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $85.11	Facility		$20.42	$29.51	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $21.88 / $36.31	Professional		$7.08	$21.88	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $29.51	Professional		$24.55	$24.55	$29.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $61.66	Professional		$28.18	$31.62	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $87.10	Facility		$21.38	$34.67	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $46.77	Professional		$13.49	$20.89	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $29.51	Facility		$10.47	$12.30	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.30 / $19.95	Professional		$12.02	$12.30	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $29.51	Professional		$11.48	$24.55	$29.51