Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $52.75 / $154.07	Facility		$21.37	$52.75	$154.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $22.90 / $33.92	Professional		$17.53	$22.90	$33.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $85.16 / $149.55	Facility		$30.33	$85.16	$149.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.98 / $22.62	Professional		$5.00	$14.98	$22.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $39.58 / $39.58	Facility		$28.27	$39.58	$39.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $56.77 / $124.49	Facility		$19.75	$56.77	$124.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $36.56	Professional		$14.86	$14.86	$36.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.28 / $134.28	Facility		$75.00	$134.28	$134.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $28.27 / $33.92	Facility		$18.66	$28.27	$33.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $28.27 / $28.27	Professional		$25.44	$28.27	$28.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $124.02 / $160.46	Facility		$83.09	$124.02	$160.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $28.27 / $51.73	Facility		$19.21	$28.27	$51.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $21.77 / $33.15	Professional		$14.86	$21.77	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.66 / $17.98	Professional		$11.87	$14.66	$17.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.96 / $28.27	Professional		$11.03	$13.96	$28.27