Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $181.97	Facility		$39.81	$63.10	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $45.71	Professional		$36.31	$38.02	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $173.78	Facility		$38.02	$93.33	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $79.43	Facility		$40.74	$40.74	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $66.07	Facility		$36.31	$40.74	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $39.81	Professional		$36.31	$37.15	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $54.95	Professional		$45.71	$45.71	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $48.98 / $56.23	Professional		$0.60	$48.98	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $66.07	Facility		$36.31	$40.74	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $42.66	Professional		$38.02	$40.74	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86