Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $34.33 / $79.04	Facility		$19.96	$34.33	$79.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $25.17	Professional		$21.70	$21.70	$25.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $63.98 / $151.60	Facility		$63.98	$63.98	$151.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $63.98 / $63.98	Professional		$63.98	$63.98	$63.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $26.33 / $80.00	Facility		$26.33	$26.33	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $21.70 / $37.63	Facility		$20.47	$21.70	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $22.52	Professional		$21.70	$21.70	$22.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $1,715.88 / $1,715.88	Facility		$80.48	$1,715.88	$1,715.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.68 / $933.68 / $933.68	Professional		$933.68	$933.68	$933.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $21.92 / $70.43	Facility		$19.76	$21.92	$70.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $22.13 / $35.81	Professional		$21.70	$22.13	$35.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $28.21 / $52.91	Professional		$21.70	$28.21	$52.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $21.92 / $70.42	Facility		$20.30	$21.92	$70.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $39.28	Professional		$21.70	$21.70	$39.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.00 / $24.30	Professional		$21.70	$23.00	$24.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $21.74 / $30.38	Professional		$19.76	$21.74	$30.38