Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $52.68 / $55.24	Facility		$41.83	$52.68	$55.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $61.64 / $74.90	Professional		$43.98	$61.64	$74.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $94.31 / $212.36	Facility		$41.55	$94.31	$212.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $55.58 / $58.18	Professional		$47.25	$55.58	$58.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $66.47	Facility		$54.68	$54.68	$66.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $71.95	Professional		$57.73	$57.73	$71.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $308.89 / $308.89 / $308.89	Facility		$308.89	$308.89	$308.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $856.96 / $856.96 / $856.96	Professional		$856.96	$856.96	$856.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $62.11 / $84.72	Facility		$43.94	$62.11	$84.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $84.71 / $125.86	Professional		$68.81	$84.71	$125.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $132.40 / $169.50	Professional		$121.20	$132.40	$169.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $62.11 / $84.35	Facility		$43.94	$62.11	$84.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $161.59	Professional		$57.73	$57.73	$161.59
United Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $68.93 / $106.45	Professional		$52.38	$68.93	$106.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $62.96 / $86.23	Professional		$53.56	$62.96	$86.23