Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $218.78	Facility		$30.20	$64.57	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $56.23	Professional		$28.84	$33.11	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $40.74	Professional		$32.36	$32.36	$40.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Facility		$69.18	$69.18	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $549.54	Professional		$398.11	$549.54	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $95.50	Facility		$30.90	$58.88	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $79.43	Professional		$30.20	$37.15	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Professional		$39.81	$39.81	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $53.70 / $100.00	Facility		$30.90	$53.70	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $77.62	Facility		$21.38	$33.88	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $47.86	Professional		$28.18	$40.74	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18