Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $27.84 / $35.21	Facility		$23.52	$27.84	$35.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $29.15 / $39.61	Professional		$23.52	$29.15	$39.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $673.25 / $1,269.03	Facility		$260.89	$673.25	$1,269.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $33.11 / $49.56	Professional		$26.69	$33.11	$49.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $33.43 / $35.13	Facility		$29.34	$33.43	$35.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $210.00 / $359.38	Facility		$24.53	$210.00	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $29.61 / $138.87	Professional		$14.22	$29.61	$138.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $175.32 / $264.97	Facility		$64.04	$175.32	$264.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $194.73 / $272.77	Professional		$194.73	$194.73	$272.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $31.39 / $52.06	Facility		$24.28	$31.39	$52.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $43.47 / $57.75	Professional		$34.78	$43.47	$57.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $34.95 / $57.37	Professional		$29.61	$34.95	$57.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $31.48 / $59.00	Facility		$24.54	$31.48	$59.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $64.58 / $83.74	Professional		$35.04	$64.58	$83.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $30.53 / $47.37	Professional		$22.84	$30.53	$47.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.34 / $42.16	Professional		$26.50	$29.34	$42.16