Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $83.65 / $106.42	Facility		$64.48	$83.65	$106.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $88.68 / $120.29	Professional		$69.91	$88.68	$120.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Professional		$33.06	$33.06	$33.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $651.66 / $651.66 / $1,350.00	Facility		$651.66	$651.66	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $50.00 / $500.00	Facility		$27.50	$50.00	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $101.53 / $167.64	Professional		$76.98	$101.53	$167.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.15 / $1,105.00 / $1,105.00	Facility		$189.15	$1,105.00	$1,105.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $579.79 / $762.83	Professional		$579.79	$579.79	$762.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $96.83 / $148.99	Facility		$76.18	$96.83	$148.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.53 / $369.66 / $600.39	Professional		$341.53	$369.66	$600.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $650.00 / $1,333.17	Facility		$300.00	$650.00	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $56.43 / $86.50	Professional		$40.89	$56.43	$86.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $97.51 / $156.16	Facility		$75.92	$97.51	$156.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $101.96 / $160.53	Professional		$77.51	$101.96	$160.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $83.61 / $126.56	Professional		$63.61	$83.61	$126.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $22.00 / $100.00	Professional		$20.00	$22.00	$100.00