Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $51.22 / $3,016.20	Facility		$50.72	$51.22	$3,016.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $52.24	Professional		$50.72	$50.72	$52.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
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 $47.84 / $50.71 / $50.71	Facility		$47.84	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $229.79 / $229.79	Facility		$115.00	$229.79	$229.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $229.79 / $229.79	Professional		$229.79	$229.79	$229.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $50.72 / $107.53	Facility		$45.41	$50.72	$107.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $63.40	Professional		$50.72	$50.72	$63.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $83.19 / $302.94	Professional		$54.77	$83.19	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.72 / $107.32	Facility		$50.71	$50.72	$107.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $55.60	Professional		$50.71	$50.71	$55.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $51.38	Professional		$50.72	$50.72	$51.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $50.72 / $68.47	Professional		$45.41	$50.72	$68.47