Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $210.24 / $589.20	Facility		$79.20	$210.24	$589.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $88.80 / $144.00	Professional		$67.20	$88.80	$144.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $66.00	Professional		$5.00	$5.50	$66.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $120.00 / $120.00	Facility		$80.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $225.42 / $510.81	Facility		$61.48	$225.42	$510.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $113.96 / $189.06	Professional		$60.73	$113.96	$189.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $811.07 / $811.07	Facility		$294.00	$811.07	$811.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $900.00	Professional		$600.00	$600.00	$900.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $120.00 / $180.00	Facility		$73.20	$120.00	$180.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $150.00	Professional		$120.00	$120.00	$150.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $144.00 / $270.00	Professional		$78.00	$144.00	$270.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $135.37 / $400.82	Facility		$70.56	$135.37	$400.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $138.00 / $189.06	Professional		$61.29	$138.00	$189.06
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $76.80	Professional		$50.40	$50.40	$76.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $120.00 / $162.00	Professional		$46.80	$120.00	$162.00