Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $48.42 / $52.29	Facility		$47.77	$48.42	$52.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $49.83 / $64.56	Professional		$39.29	$49.83	$64.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $60.76 / $60.76	Professional		$60.76	$60.76	$60.76
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 $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $345.06 / $350.22	Facility		$123.87	$345.06	$350.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $648.41 / $674.35	Professional		$552.98	$648.41	$674.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $73.73 / $137.44	Facility		$49.07	$73.73	$137.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $70.04 / $73.73	Professional		$62.67	$70.04	$73.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $82.72 / $129.03	Professional		$72.26	$82.72	$129.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $73.73 / $137.44	Facility		$49.07	$73.73	$137.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $61.31	Professional		$30.08	$30.08	$61.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $34.61 / $50.66	Professional		$26.06	$34.61	$50.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $73.73 / $99.54	Professional		$73.73	$73.73	$99.54