Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $50.91 / $129.66	Facility		$20.30	$50.91	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $19.10 / $35.82	Professional		$15.28	$19.10	$35.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $58.67 / $140.82	Facility		$37.11	$58.67	$140.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $15.01 / $38.21	Professional		$5.00	$15.01	$38.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $27.29 / $80.00	Facility		$27.29	$27.29	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $58.79 / $122.32	Facility		$23.37	$58.79	$122.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.25 / $45.56	Professional		$12.84	$17.25	$45.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $129.63 / $150.00	Facility		$55.00	$129.63	$150.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $164.83 / $204.68	Professional		$164.83	$164.83	$204.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $32.28 / $50.26	Facility		$21.29	$32.28	$50.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $27.29 / $34.11	Professional		$25.68	$27.29	$34.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $30.02 / $49.67	Professional		$25.93	$30.02	$49.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $35.04 / $91.57	Facility		$21.47	$35.04	$91.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.08 / $44.84	Professional		$12.88	$26.08	$44.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.77 / $17.23	Professional		$11.46	$11.77	$17.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.14 / $27.29	Professional		$10.92	$14.14	$27.29