Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $98.38 / $100.06	Facility		$93.27	$98.38	$100.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $93.27 / $112.99	Professional		$72.77	$93.27	$112.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $268.55 / $492.51	Facility		$111.31	$268.55	$492.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $89.23 / $104.98	Professional		$36.61	$89.23	$104.98
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 $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $61.50 / $78.11	Professional		$28.62	$61.50	$78.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.82 / $457.19 / $523.07	Facility		$178.82	$457.19	$523.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $603.54 / $603.54 / $843.83	Professional		$603.54	$603.54	$843.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $93.27 / $197.73	Facility		$65.92	$93.27	$197.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $80.29	Professional		$65.92	$65.92	$80.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $89.86 / $150.96	Professional		$85.25	$89.86	$150.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $98.38 / $263.98	Facility		$68.73	$98.38	$263.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $103.85 / $470.87	Professional		$80.29	$103.85	$470.87
United Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $79.00 / $132.32	Professional		$60.18	$79.00	$132.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $70.38 / $117.54	Professional		$65.92	$70.38	$117.54