Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $53.62 / $92.66	Facility		$53.62	$53.62	$92.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $68.09 / $85.55	Professional		$56.34	$68.09	$85.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $82.52 / $137.49	Professional		$61.59	$82.52	$137.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $313.37 / $358.15	Facility		$143.31	$313.37	$358.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $575.00 / $578.85	Professional		$575.00	$575.00	$578.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $72.47 / $102.25	Facility		$57.98	$72.47	$102.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.06 / $128.25	Professional		$60.00	$91.06	$128.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $72.28 / $102.25	Facility		$56.34	$72.28	$102.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $35.00 / $99.60	Professional		$25.00	$35.00	$99.60
United Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $76.91 / $123.42	Professional		$55.49	$76.91	$123.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $64.45 / $90.23	Professional		$64.45	$64.45	$90.23