Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $65.56 / $67.93	Facility		$62.04	$65.56	$67.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $66.81 / $96.26	Professional		$57.27	$66.81	$96.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $65.00 / $65.00	Professional		$52.00	$65.00	$65.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $638.99 / $662.25 / $662.25	Facility		$638.99	$662.25	$662.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $846.32 / $880.17 / $1,021.13	Professional		$846.32	$880.17	$1,021.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $110.35 / $201.11	Facility		$59.84	$110.35	$201.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $59.84 / $110.35	Professional		$51.63	$59.84	$110.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.25 / $271.92 / $278.76	Professional		$259.25	$271.92	$278.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $73.63 / $192.81	Facility		$59.84	$73.63	$192.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $41.25 / $56.50	Professional		$41.25	$41.25	$56.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $77.59 / $145.49	Professional		$65.14	$77.59	$145.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $157.91 / $179.42	Professional		$157.91	$157.91	$179.42