Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $69.48 / $234.64	Facility		$26.53	$69.48	$234.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $26.67 / $42.11	Professional		$21.05	$26.67	$42.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $100.09 / $185.45	Facility		$36.49	$100.09	$185.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $19.30 / $49.13	Professional		$5.00	$19.30	$49.13
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 $14.21 / $82.36 / $177.18	Facility		$14.21	$82.36	$177.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $166.68 / $166.68	Facility		$79.05	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $263.18	Professional		$175.45	$175.45	$263.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $35.09 / $59.75	Facility		$22.11	$35.09	$59.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $43.86	Professional		$33.34	$35.09	$43.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $78.72 / $208.54	Facility		$57.53	$78.72	$208.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $73.34	Professional		$35.09	$45.62	$73.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $40.35 / $151.07	Facility		$21.05	$40.35	$151.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $43.86	Professional		$18.45	$18.45	$43.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $28.88	Professional		$14.74	$20.22	$28.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $35.09	Professional		$17.32	$17.32	$35.09