Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $23.66 / $36.79	Facility		$13.03	$23.66	$36.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $26.76 / $44.09	Professional		$15.94	$26.76	$44.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.54 / $171.18 / $389.24	Facility		$94.54	$171.18	$389.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $29.52 / $51.39	Professional		$16.10	$29.52	$51.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $16.57 / $42.13	Facility		$16.32	$16.57	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $99.30 / $205.70	Facility		$17.16	$99.30	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $33.50 / $57.14	Professional		$18.30	$33.50	$57.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.22 / $175.22 / $175.22	Facility		$175.22	$175.22	$175.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $251.37 / $335.18	Professional		$251.37	$251.37	$335.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $31.64 / $48.38	Facility		$16.35	$31.64	$48.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $45.15 / $71.59	Professional		$21.85	$45.15	$71.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $36.89 / $59.03	Professional		$17.72	$36.89	$59.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $31.86 / $48.56	Facility		$16.41	$31.86	$48.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $39.52 / $79.20	Professional		$19.30	$39.52	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $36.45 / $58.58	Professional		$26.74	$36.45	$58.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $38.39 / $52.10	Professional		$32.85	$38.39	$52.10