Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $77.94 / $203.45	Facility		$31.07	$77.94	$203.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $27.98 / $50.70	Professional		$22.13	$27.98	$50.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $132.80 / $244.30	Facility		$46.77	$132.80	$244.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.97 / $58.46	Professional		$5.00	$22.97	$58.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $41.76	Facility		$41.76	$41.76	$41.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $96.19 / $220.97	Facility		$47.80	$96.19	$220.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $31.05 / $92.18	Professional		$23.74	$31.05	$92.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $199.32 / $199.32	Facility		$89.41	$199.32	$199.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $343.25 / $343.25	Professional		$313.20	$343.25	$343.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $52.20 / $93.27	Facility		$32.57	$52.20	$93.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $41.76 / $52.20	Professional		$39.67	$41.76	$52.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $45.94 / $76.00	Professional		$39.67	$45.94	$76.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $63.10 / $152.53	Facility		$34.28	$63.10	$152.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $41.45 / $81.20	Professional		$24.14	$41.45	$81.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $23.92 / $32.97	Professional		$17.54	$23.92	$32.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $21.63 / $41.76	Professional		$20.62	$21.63	$41.76