Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Facility		$67.61	$67.61	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $89.13	Professional		$50.12	$67.61	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $125.89	Facility		$117.49	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $173.78	Facility		$64.57	$102.33	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $223.87	Professional		$53.70	$85.11	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $302.00	Professional		$204.17	$245.47	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $229.09	Facility		$63.10	$123.03	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $125.89	Professional		$91.20	$114.82	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89