Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $52.33 / $123.47	Facility		$23.88	$52.33	$123.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $35.82	Professional		$23.88	$24.12	$35.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $94.68 / $178.82	Facility		$37.40	$94.68	$178.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $29.82 / $29.82	Professional		$29.82	$29.82	$29.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $30.88 / $80.00	Facility		$30.88	$30.88	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $30.88	Facility		$22.53	$23.88	$30.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $24.78	Professional		$23.88	$23.88	$24.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,290.10 / $3,290.10	Facility		$75.00	$3,290.10	$3,290.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $1,372.11 / $1,372.11	Professional		$724.00	$1,372.11	$1,372.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $30.43 / $352.21	Facility		$23.88	$30.43	$352.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.36 / $39.40	Professional		$23.88	$24.36	$39.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $32.42 / $67.90	Professional		$24.35	$32.42	$67.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $30.15 / $349.81	Facility		$23.88	$30.15	$349.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $65.59	Professional		$23.88	$23.88	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $25.31 / $26.75	Professional		$23.88	$25.31	$26.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $29.60 / $60.82	Professional		$23.88	$29.60	$60.82