Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Facility		$57.50	$57.50	$57.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $65.47 / $80.67	Professional		$45.66	$65.47	$80.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $171.40 / $386.98	Facility		$70.33	$171.40	$386.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $50.67 / $50.67	Professional		$50.67	$50.67	$50.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $344.74 / $344.74	Facility		$121.10	$344.74	$344.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $440.72 / $557.40	Professional		$440.72	$440.72	$557.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.46 / $77.20 / $127.71	Facility		$57.46	$77.20	$127.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $96.61 / $123.93	Professional		$76.62	$96.61	$123.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $142.40 / $175.50	Professional		$124.60	$142.40	$175.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $77.33 / $133.36	Facility		$57.38	$77.33	$133.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $164.53	Professional		$61.30	$61.30	$164.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $75.06 / $116.94	Professional		$56.30	$75.06	$116.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $66.84 / $91.66	Professional		$56.87	$66.84	$91.66