Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $75.95 / $198.26	Facility		$30.77	$75.95	$198.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $28.49 / $48.84	Professional		$22.79	$28.49	$48.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $100.53 / $213.27	Facility		$50.47	$100.53	$213.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $22.39 / $56.98	Professional		$5.00	$22.39	$56.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $80.00	Facility		$40.70	$40.70	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $81.36 / $173.16	Facility		$31.33	$81.36	$173.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $25.77 / $69.53	Professional		$17.91	$25.77	$69.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $193.33 / $193.33	Facility		$70.81	$193.33	$193.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $386.73 / $397.33	Professional		$305.25	$386.73	$397.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $43.90 / $67.76	Facility		$31.75	$43.90	$67.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $40.70 / $50.88	Professional		$38.51	$40.70	$50.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $48.84 / $91.58	Professional		$26.45	$48.84	$91.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $48.86 / $134.87	Facility		$30.93	$48.86	$134.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $38.51 / $64.29	Professional		$18.23	$38.51	$64.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $24.42 / $66.69	Professional		$21.92	$24.42	$66.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $21.08 / $40.70	Professional		$16.28	$21.08	$40.70