Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $87.66 / $275.62	Facility		$37.83	$87.66	$275.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $38.28 / $66.70	Professional		$23.42	$38.28	$66.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $101.50 / $297.54	Facility		$71.28	$101.50	$297.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $31.90 / $81.20	Professional		$5.00	$31.90	$81.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $80.00	Facility		$58.00	$58.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $101.79 / $246.76	Facility		$24.54	$101.79	$246.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $29.63 / $88.08	Professional		$13.40	$29.63	$88.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $275.50 / $275.50	Facility		$92.80	$275.50	$275.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $290.00 / $435.00	Professional		$290.00	$290.00	$435.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $49.30 / $75.40	Facility		$32.22	$49.30	$75.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $58.00 / $72.50	Professional		$54.72	$58.00	$72.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $37.70 / $130.50	Professional		$29.00	$37.70	$130.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $51.42 / $160.15	Facility		$27.88	$51.42	$160.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $41.09 / $88.08	Professional		$13.73	$41.09	$88.08
United Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $33.01 / $69.59	Facility		$12.06	$33.01	$69.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $24.36 / $34.79	Professional		$11.47	$24.36	$34.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $30.04 / $58.00	Professional		$23.20	$30.04	$58.00