Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $38.85 / $124.32	Facility		$30.78	$38.85	$124.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $37.29	Professional		$30.78	$31.08	$37.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.49 / $94.89 / $189.32	Facility		$37.49	$94.89	$189.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Professional		$32.79	$32.79	$32.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $30.78	Facility		$29.03	$30.78	$30.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $153.90 / $157.69	Facility		$75.00	$153.90	$157.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $134.18 / $134.18	Professional		$134.18	$134.18	$134.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $31.08 / $63.41	Facility		$30.78	$31.08	$63.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.40 / $50.79	Professional		$30.78	$31.40	$50.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $34.00 / $64.30	Professional		$30.29	$34.00	$64.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $54.94	Facility		$30.78	$30.78	$54.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.33	Professional		$30.78	$30.78	$38.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.63 / $34.26	Professional		$30.78	$32.63	$34.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.78 / $43.09	Professional		$30.39	$30.78	$43.09