Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $45.75 / $104.65	Facility		$44.03	$45.75	$104.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $45.75 / $74.23	Professional		$41.44	$45.75	$74.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $58.70 / $58.70	Professional		$46.92	$58.70	$58.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.59 / $98.59 / $98.59	Facility		$98.59	$98.59	$98.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $70.48	Professional		$51.45	$51.45	$70.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $456.72 / $456.72	Facility		$164.79	$456.72	$456.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.67 / $493.67 / $717.90	Professional		$493.67	$493.67	$717.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $65.87 / $98.59	Facility		$28.22	$65.87	$98.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $90.70 / $98.59	Professional		$28.22	$90.70	$98.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Professional		$34.29	$34.29	$34.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $65.87 / $98.59	Facility		$28.22	$65.87	$98.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $72.59	Professional		$51.45	$51.45	$72.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $52.67 / $62.70	Professional		$36.18	$52.67	$62.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.65 / $98.59	Professional		$52.49	$52.65	$98.59