Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $42.19 / $166.48	Facility		$30.10	$42.19	$166.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $53.98 / $102.79	Professional		$37.29	$53.98	$102.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $66.91 / $189.14	Facility		$49.00	$66.91	$189.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $50.77 / $76.39	Professional		$35.11	$50.77	$76.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $71.18 / $71.18	Facility		$34.71	$71.18	$71.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $112.31 / $572.00	Facility		$76.62	$112.31	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $73.77 / $170.58	Professional		$43.61	$73.77	$170.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $192.38 / $192.38	Facility		$184.85	$192.38	$192.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $686.87 / $693.25	Professional		$602.00	$686.87	$693.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $58.70 / $140.97	Facility		$38.20	$58.70	$140.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $74.23 / $200.26	Professional		$48.67	$74.23	$200.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $58.70 / $93.38	Professional		$38.25	$58.70	$93.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $58.57 / $140.97	Facility		$38.25	$58.57	$140.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $79.97 / $155.19	Professional		$45.50	$79.97	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $74.13 / $142.84	Professional		$46.78	$74.13	$142.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $55.00 / $74.48	Professional		$46.93	$55.00	$74.48