Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $56.15 / $57.23	Facility		$55.07	$56.15	$57.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $57.23 / $92.08	Professional		$52.92	$57.23	$92.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Professional		$73.43	$73.43	$73.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.87 / $90.87 / $123.32	Facility		$90.87	$90.87	$123.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $290.51 / $647.48 / $781.04	Facility		$290.51	$647.48	$781.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $918.41 / $940.46 / $985.88	Professional		$918.41	$940.46	$985.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $85.33 / $123.32	Facility		$39.72	$85.33	$123.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $113.45 / $123.32	Professional		$39.72	$113.45	$123.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $135.65 / $277.47	Professional		$123.32	$135.65	$277.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $82.40 / $123.32	Facility		$39.72	$82.40	$123.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $85.05	Professional		$58.23	$58.23	$85.05
United Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $74.14 / $88.26	Professional		$51.27	$74.14	$88.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $74.53 / $123.32	Professional		$73.89	$74.53	$123.32