Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $51.22 / $52.21	Facility		$50.24	$51.22	$52.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $52.21 / $84.71	Professional		$47.28	$52.21	$84.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $66.98 / $66.98	Professional		$66.98	$66.98	$66.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $112.49 / $112.49	Facility		$112.49	$112.49	$112.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $520.92 / $520.92	Facility		$187.91	$520.92	$520.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $563.39 / $563.39 / $818.78	Professional		$563.39	$563.39	$818.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $77.84 / $112.49	Facility		$32.18	$77.84	$112.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $103.49 / $112.49	Professional		$32.18	$103.49	$112.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $114.74 / $258.17	Professional		$86.06	$114.74	$258.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $72.19 / $112.49	Facility		$32.18	$72.19	$112.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $71.12	Professional		$48.71	$48.71	$71.12
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $60.08 / $71.52	Professional		$41.55	$60.08	$71.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $59.87 / $112.49	Professional		$59.20	$59.87	$112.49