Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $51.46 / $99.19	Facility		$28.23	$51.46	$99.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.53 / $32.61	Professional		$20.00	$23.53	$32.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $42.57 / $82.66	Facility		$16.82	$42.57	$82.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $90.00 / $100.00	Facility		$27.04	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $26.25 / $62.37	Facility		$22.35	$26.25	$62.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $25.50 / $52.00	Professional		$18.37	$25.50	$52.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.44 / $244.95	Facility		$16.60	$22.44	$244.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $22.10 / $33.65	Facility		$20.09	$22.10	$33.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.37 / $26.37	Professional		$21.23	$26.37	$26.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $30.17	Professional		$21.00	$21.00	$30.17