Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $64.25 / $169.05	Facility		$25.62	$64.25	$169.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $25.57 / $52.77	Professional		$20.66	$25.57	$52.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $111.21 / $207.81	Facility		$42.51	$111.21	$207.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $18.94 / $48.20	Professional		$5.00	$18.94	$48.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $34.43 / $80.00	Facility		$34.43	$34.43	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $79.02 / $183.25	Facility		$39.47	$79.02	$183.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $25.61 / $75.81	Professional		$19.51	$25.61	$75.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.12 / $163.92 / $375.00	Facility		$82.12	$163.92	$375.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $777.00 / $777.00	Professional		$271.35	$777.00	$777.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $51.30 / $85.82	Facility		$28.26	$51.30	$85.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $34.43 / $47.77	Professional		$32.71	$34.43	$47.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $41.32 / $77.47	Professional		$22.38	$41.32	$77.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $55.44 / $125.78	Facility		$27.89	$55.44	$125.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $34.20 / $70.51	Professional		$19.92	$34.20	$70.51
United Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $14.46 / $34.43	Facility		$12.39	$14.46	$34.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $28.72 / $68.27	Professional		$20.66	$28.72	$68.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $19.51 / $34.43	Professional		$17.82	$19.51	$34.43