Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $59.99 / $83.77	Facility		$36.69	$59.99	$83.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.06 / $44.72	Professional		$36.69	$37.06	$44.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $119.77 / $238.97	Facility		$48.74	$119.77	$238.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $2,231.07 / $2,231.07	Facility		$2,231.07	$2,231.07	$2,231.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $36.69 / $43.35	Facility		$34.61	$36.69	$43.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $37.17	Professional		$36.69	$36.69	$37.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $205.70 / $205.70	Facility		$75.00	$205.70	$205.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $167.55 / $167.55	Professional		$167.55	$167.55	$167.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.96 / $82.55	Facility		$36.69	$36.96	$82.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.42 / $60.54	Professional		$36.69	$37.42	$60.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $40.56 / $82.30	Professional		$36.25	$40.56	$82.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $81.45	Facility		$36.69	$36.69	$81.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $46.41	Professional		$36.69	$36.69	$46.41
United Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Facility		$61.92	$61.92	$61.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.89 / $40.84	Professional		$36.69	$38.89	$40.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $36.69 / $51.37	Professional		$36.58	$36.69	$51.37