Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $57.54 / $97.72	Professional		$16.98	$57.54	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $60.26 / $104.71	Professional		$16.98	$60.26	$104.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $81.28	Facility		$17.78	$19.50	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $123.03	Professional		$19.95	$61.66	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $707.95	Professional		$549.54	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $61.66 / $117.49	Facility		$17.78	$61.66	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $57.54 / $117.49	Professional		$15.85	$57.54	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $72.44	Professional		$16.98	$32.36	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $60.26 / $83.18	Professional		$17.38	$60.26	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $61.66 / $123.03	Facility		$18.20	$61.66	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $63.10 / $123.03	Professional		$19.95	$63.10	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $89.13	Professional		$17.78	$41.69	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $83.18	Professional		$79.43	$83.18	$83.18