Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $67.56 / $112.62	Facility		$57.45	$67.56	$112.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $67.83 / $87.93	Professional		$58.93	$67.83	$87.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $74.56 / $86.47	Professional		$60.61	$74.56	$86.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.11 / $70.05 / $85.77	Facility		$64.11	$70.05	$85.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $86.72 / $135.75	Professional		$66.28	$86.72	$135.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $365.94 / $365.94	Facility		$337.57	$365.94	$365.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $462.92 / $462.92 / $512.83	Professional		$462.92	$462.92	$512.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $72.81 / $94.77	Facility		$60.47	$72.81	$94.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $105.13 / $140.65	Professional		$79.34	$105.13	$140.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $86.78 / $97.34	Professional		$86.78	$86.78	$97.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.33 / $72.66 / $94.54	Facility		$60.33	$72.66	$94.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $88.66 / $149.51	Professional		$67.94	$88.66	$149.51
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $90.23 / $132.55	Professional		$65.23	$90.23	$132.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $78.95 / $109.51	Professional		$69.02	$78.95	$109.51