Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $105.53 / $270.64	Facility		$32.04	$105.53	$270.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $31.36 / $62.19	Professional		$25.32	$31.36	$62.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $131.80 / $239.45	Facility		$49.31	$131.80	$239.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.00 / $59.33	Professional		$5.00	$25.00	$59.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $42.38 / $80.00	Facility		$42.38	$42.38	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $88.71 / $188.73	Facility		$40.58	$88.71	$188.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.81 / $78.19	Professional		$21.53	$26.81	$78.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.83 / $233.72 / $233.72	Facility		$103.83	$233.72	$233.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $386.73 / $397.33	Professional		$317.85	$386.73	$397.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $52.12 / $81.00	Facility		$33.93	$52.12	$81.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $42.38 / $52.98	Professional		$42.38	$42.38	$52.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $50.86 / $95.36	Professional		$27.55	$50.86	$95.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $56.04 / $154.83	Facility		$34.33	$56.04	$154.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $40.04 / $76.76	Professional		$21.72	$40.04	$76.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $29.03 / $82.67	Professional		$25.43	$29.03	$82.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $21.95 / $42.38	Professional		$19.72	$21.95	$42.38