Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $1,230.27	Facility		$21.88	$33.11	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $38.02	Professional		$21.38	$25.12	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $676.08	Facility		$138.04	$354.81	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $18.62 / $34.67	Professional		$3.39	$18.62	$34.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $138.04 / $208.93	Facility		$20.89	$138.04	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $48.98	Professional		$22.91	$30.90	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $213.80	Professional		$204.17	$213.80	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.84 / $51.29	Facility		$22.39	$28.84	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $46.77	Professional		$21.88	$25.70	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $17.38 / $21.38	Professional		$2.88	$17.38	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $53.70 / $67.61	Professional		$15.14	$53.70	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $51.29	Facility		$21.88	$29.51	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $56.23	Professional		$22.91	$30.90	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $269.15	Facility		$194.98	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $39.81	Professional		$19.50	$25.70	$39.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $31.62	Professional		$19.50	$25.12	$31.62