Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $57.92 / $94.55	Professional		$15.85	$57.92	$94.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $61.43 / $106.45	Professional		$16.60	$61.43	$106.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $19.55 / $80.38	Facility		$17.62	$19.55	$80.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $62.79 / $121.69	Professional		$19.84	$62.79	$121.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $102.46 / $138.13	Facility		$102.46	$102.46	$138.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $553.58 / $714.30	Professional		$314.58	$553.58	$714.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $61.33 / $108.42	Facility		$18.86	$61.33	$108.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $91.09 / $132.50	Professional		$23.06	$91.09	$132.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $77.44 / $159.18	Professional		$18.67	$77.44	$159.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $60.78 / $108.42	Facility		$18.37	$60.78	$108.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $66.89 / $126.13	Professional		$20.05	$66.89	$126.13
United Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $71.17 / $100.35	Professional		$55.08	$71.17	$100.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $79.05 / $112.59	Professional		$70.68	$79.05	$112.59