Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $199.53	Facility		$30.20	$75.86	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $56.23	Professional		$21.88	$32.36	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $128.82 / $218.78	Facility		$48.98	$128.82	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $36.31 / $54.95	Professional		$5.01	$36.31	$54.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $79.43	Facility		$40.74	$40.74	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $74.13 / $173.78	Facility		$31.62	$74.13	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $74.13	Professional		$18.20	$26.92	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $81.28	Facility		$30.90	$42.66	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $51.29	Professional		$23.99	$33.11	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $87.10	Professional		$39.81	$43.65	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $120.23	Facility		$30.20	$48.98	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $70.79	Professional		$17.38	$28.84	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $40.74	Facility		$14.79	$16.98	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $77.62	Professional		$22.39	$24.55	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.88 / $40.74	Professional		$15.85	$33.88	$40.74