Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $34.61 / $38.59	Facility		$24.49	$34.61	$38.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $34.61 / $42.06	Professional		$26.22	$34.61	$42.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.24 / $68.34 / $165.86	Facility		$46.24	$68.34	$165.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $28.77 / $28.77	Professional		$28.77	$28.77	$28.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $36.40	Facility		$36.40	$36.40	$36.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $57.04	Facility		$36.31	$36.31	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $270.82 / $280.68	Facility		$98.32	$270.82	$280.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.11 / $282.11 / $432.83	Professional		$282.11	$282.11	$432.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $50.99 / $96.80	Facility		$33.43	$50.99	$96.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $57.43 / $60.45	Professional		$57.43	$57.43	$60.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $54.41 / $136.01	Professional		$24.60	$54.41	$136.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $51.59 / $96.80	Facility		$33.57	$51.59	$96.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $50.09	Professional		$30.86	$30.86	$50.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $28.70 / $36.78	Professional		$21.36	$28.70	$36.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.26 / $67.84	Professional		$46.32	$50.26	$67.84