Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $30.98 / $33.46	Facility		$30.57	$30.98	$33.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $31.88 / $41.31	Professional		$28.31	$31.88	$41.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $38.88 / $38.88	Professional		$38.88	$38.88	$38.88
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 $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $237.67 / $263.91	Facility		$95.78	$237.67	$263.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $353.85 / $609.54 / $633.92	Professional		$353.85	$609.54	$633.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $47.18 / $128.97	Facility		$31.40	$47.18	$128.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $44.82 / $47.18	Professional		$40.10	$44.82	$47.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $52.93 / $82.56	Professional		$46.24	$52.93	$82.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $49.62 / $128.97	Facility		$31.75	$49.62	$128.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $39.22	Professional		$19.25	$19.25	$39.22
United Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $21.41 / $32.45	Professional		$16.68	$21.41	$32.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $47.18 / $63.69	Professional		$47.18	$47.18	$63.69