Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $64.83 / $90.66	Professional		$42.05	$64.83	$90.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $58.63 / $58.63	Professional		$51.95	$58.63	$58.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $74.53 / $74.53	Facility		$73.36	$74.53	$74.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $39.40 / $48.81	Facility		$22.64	$39.40	$48.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $70.90 / $109.31	Professional		$33.10	$70.90	$109.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $160.78 / $439.52	Facility		$153.78	$160.78	$439.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $437.76 / $437.76 / $680.10	Professional		$437.76	$437.76	$680.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $62.54 / $93.76	Facility		$26.41	$62.54	$93.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $100.92 / $139.72	Professional		$86.95	$100.92	$139.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $97.25 / $185.92	Professional		$71.34	$97.25	$185.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $60.05 / $93.31	Facility		$25.87	$60.05	$93.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $72.95 / $127.00	Professional		$35.45	$72.95	$127.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $49.80 / $76.19	Professional		$31.96	$49.80	$76.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $73.36 / $102.70	Professional		$66.25	$73.36	$102.70