Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $38.89 / $51.75	Facility		$34.89	$38.89	$51.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $38.72 / $51.97	Professional		$30.82	$38.72	$51.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $102.01 / $209.02	Facility		$53.19	$102.01	$209.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $42.25	Professional		$34.82	$34.82	$42.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $59.85 / $59.85	Facility		$59.85	$59.85	$59.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $34.31	Professional		$34.31	$34.31	$34.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $283.33 / $283.33	Facility		$119.89	$283.33	$283.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $322.29 / $413.10	Professional		$317.97	$322.29	$413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.22 / $77.45	Facility		$18.20	$54.22	$77.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $55.18 / $77.45	Professional		$34.85	$55.18	$77.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $124.70 / $150.30	Professional		$25.10	$124.70	$150.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $49.86 / $77.45	Facility		$19.11	$49.86	$77.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $62.58	Professional		$34.31	$34.31	$62.58
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $37.01 / $77.45	Professional		$25.31	$37.01	$77.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $59.85 / $80.80	Professional		$38.72	$59.85	$80.80