Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.71 / $98.08 / $483.00	Facility		$23.71	$98.08	$483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $87.35	Professional		$74.02	$87.35	$87.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.86 / $300.26 / $533.21	Facility		$76.86	$300.26	$533.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $55.64 / $55.64	Professional		$47.29	$55.64	$55.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $113.54 / $113.54	Facility		$113.54	$113.54	$113.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $87.35 / $185.18	Facility		$76.23	$87.35	$185.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $147.11 / $162.04	Facility		$147.11	$147.11	$162.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $83.86 / $140.27	Professional		$71.29	$83.86	$140.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $87.35 / $185.18	Facility		$81.16	$87.35	$185.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $16.82 / $23.56	Professional		$16.82	$16.82	$23.56