Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Facility		$32.36	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $32.36	Professional		$14.13	$25.70	$32.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $69.18	Facility		$60.26	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $194.98	Professional		$48.98	$57.54	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $302.00	Professional		$223.87	$302.00	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.11 / $72.44	Facility		$18.20	$33.11	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $33.11	Professional		$14.13	$30.20	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $138.04	Professional		$104.71	$117.49	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $72.44	Facility		$16.60	$33.11	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $194.98 / $194.98	Professional		$45.71	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $16.98 / $31.62	Professional		$2.63	$16.98	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $11.75	Professional		$9.55	$10.00	$11.75