Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $53.96 / $80.04	Facility		$52.16	$53.96	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $60.25 / $84.53	Professional		$47.66	$60.25	$84.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $48.88 / $64.75	Professional		$48.88	$48.88	$64.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.70 / $102.70 / $102.70	Facility		$102.70	$102.70	$102.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $79.86	Professional		$43.91	$43.91	$79.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.66 / $476.75 / $476.75	Facility		$171.66	$476.75	$476.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $514.42 / $747.83	Professional		$514.42	$514.42	$747.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $80.04 / $102.70	Facility		$30.94	$80.04	$102.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $92.43 / $103.59	Professional		$80.39	$92.43	$103.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $104.75 / $231.07	Professional		$37.50	$104.75	$231.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $79.59 / $102.70	Facility		$30.94	$79.59	$102.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $86.31	Professional		$43.91	$43.91	$86.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $55.00 / $68.75	Professional		$38.03	$55.00	$68.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $60.08 / $102.70	Professional		$51.40	$60.08	$102.70