Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $83.18	Professional		$50.12	$66.07	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $213.80 / $389.05	Facility		$104.71	$213.80	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $562.34	Professional		$436.52	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $138.04	Facility		$58.88	$81.28	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $117.49	Professional		$51.29	$70.79	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $147.91 / $173.78	Professional		$0.60	$147.91	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $134.90	Facility		$58.88	$81.28	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $144.54	Professional		$60.26	$60.26	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $117.49	Professional		$58.88	$77.62	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $87.10	Professional		$56.23	$72.44	$87.10