Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $46.17 / $47.06	Facility		$45.28	$46.17	$47.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $47.06 / $76.98	Professional		$43.51	$47.06	$76.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $48.26 / $48.26	Professional		$48.26	$48.26	$48.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $101.40 / $101.40	Facility		$101.40	$101.40	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $53.85	Professional		$39.31	$39.31	$53.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $456.49 / $545.82	Facility		$166.62	$456.49	$545.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $551.57 / $646.35	Professional		$551.57	$551.57	$646.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $63.12 / $101.40	Facility		$47.06	$63.12	$101.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $63.12 / $79.36	Professional		$27.38	$63.12	$79.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $103.43 / $232.72	Professional		$93.09	$103.43	$232.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $63.12 / $101.40	Facility		$49.72	$63.12	$101.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $86.82	Professional		$39.31	$39.31	$86.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $53.96 / $67.45	Professional		$35.83	$53.96	$67.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $52.03 / $101.40	Professional		$50.59	$52.03	$101.40