Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $57.30 / $131.30	Facility		$55.14	$57.30	$131.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $57.30 / $90.74	Professional		$51.90	$57.30	$90.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $73.52 / $73.52	Professional		$73.52	$73.52	$73.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $123.48 / $123.48	Facility		$123.48	$123.48	$123.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $83.99	Professional		$61.31	$61.31	$83.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.58 / $528.70 / $616.74	Facility		$263.58	$528.70	$616.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.76 / $761.63 / $761.63	Professional		$743.76	$761.63	$761.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $85.42 / $123.48	Facility		$31.36	$85.42	$123.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $111.13 / $123.48	Professional		$31.36	$111.13	$123.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $83.99 / $123.48	Facility		$31.36	$83.99	$123.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $61.31 / $89.54	Professional		$61.31	$61.31	$89.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $59.89 / $69.69	Professional		$40.49	$59.89	$69.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $59.66 / $123.48	Professional		$59.05	$59.66	$123.48