Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $56.04 / $142.69	Facility		$22.34	$56.04	$142.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $22.52 / $39.04	Professional		$16.82	$22.52	$39.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $74.17 / $155.56	Facility		$37.84	$74.17	$155.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $16.52 / $42.04	Professional		$5.00	$16.52	$42.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $80.00	Facility		$30.03	$30.03	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $64.22 / $134.37	Facility		$23.38	$64.22	$134.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $19.12 / $47.40	Professional		$13.40	$19.12	$47.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $142.63 / $142.63	Facility		$61.01	$142.63	$142.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $164.83 / $225.23	Professional		$164.83	$164.83	$225.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $34.20 / $51.15	Facility		$24.05	$34.20	$51.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $30.03 / $37.54	Professional		$27.81	$30.03	$37.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $36.34 / $67.56	Professional		$19.52	$36.34	$67.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $36.43 / $97.67	Facility		$23.42	$36.43	$97.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $28.43 / $46.47	Professional		$13.59	$28.43	$46.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $12.61 / $18.50	Professional		$11.49	$12.61	$18.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.56 / $30.03	Professional		$12.01	$15.56	$30.03