Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.93 / $6,632.18	Facility		$38.54	$38.93	$6,632.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.40	Professional		$38.54	$38.54	$42.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $98.66 / $196.85	Facility		$38.97	$98.66	$196.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $38.54 / $38.54	Facility		$36.36	$38.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $197.96 / $197.96	Facility		$75.00	$197.96	$197.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $197.96 / $199.13	Professional		$197.96	$197.96	$199.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $49.12 / $69.42	Facility		$19.22	$49.12	$69.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $48.18	Professional		$38.54	$38.54	$48.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $46.40 / $205.54	Professional		$40.40	$46.40	$205.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $38.54 / $69.42	Facility		$19.73	$38.54	$69.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $54.54	Professional		$38.54	$38.54	$54.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $39.04	Professional		$38.54	$38.54	$39.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $44.84 / $52.03	Professional		$38.54	$44.84	$52.03