Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $58.84 / $59.97	Facility		$57.71	$58.84	$59.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $59.97 / $90.42	Professional		$53.07	$59.97	$90.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $76.95	Professional		$61.50	$61.50	$76.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $129.22 / $129.22	Facility		$129.22	$129.22	$129.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $64.52	Professional		$47.10	$47.10	$64.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $554.66 / $572.00 / $572.00	Facility		$554.66	$572.00	$572.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $639.69 / $774.45	Professional		$639.69	$639.69	$774.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $89.42 / $129.22	Facility		$33.26	$89.42	$129.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $116.31 / $129.22	Professional		$33.26	$116.31	$129.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $142.15 / $290.77	Professional		$129.22	$142.15	$290.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $86.36 / $129.22	Facility		$33.26	$86.36	$129.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $68.78	Professional		$47.10	$47.10	$68.78
United Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $62.08 / $73.90	Professional		$42.93	$62.08	$73.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $61.86 / $129.22	Professional		$60.47	$61.86	$129.22