Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $63.15 / $170.96	Facility		$26.27	$63.15	$170.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $25.97 / $47.73	Professional		$19.64	$25.97	$47.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.94 / $200.76	Facility		$43.33	$111.94	$200.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $80.00	Facility		$35.09	$35.09	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $81.59 / $177.18	Facility		$35.20	$81.59	$177.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $25.76 / $71.93	Professional		$19.88	$25.76	$71.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $166.68 / $166.68	Facility		$56.14	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $35.09 / $56.36	Facility		$22.11	$35.09	$56.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $43.86	Professional		$33.34	$35.09	$43.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $42.11 / $78.95	Professional		$22.81	$42.11	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $42.55 / $177.18	Facility		$25.97	$42.55	$177.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $33.01 / $67.97	Professional		$20.26	$33.01	$67.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $28.66	Professional		$14.74	$20.05	$28.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.18 / $35.09	Professional		$17.32	$18.18	$35.09