Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $776.25	Facility		$100.00	$239.88	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $208.93	Professional		$93.33	$123.03	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $91.20	Professional		$5.01	$5.50	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $151.36	Facility		$79.43	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $660.69	Facility		$151.36	$331.13	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $275.42	Professional		$69.18	$144.54	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $281.84	Facility		$112.20	$151.36	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $120.23 / $186.21	Professional		$7.94	$120.23	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Professional		$125.89	$125.89	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $316.23	Professional		$151.36	$162.18	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $575.44	Facility		$109.65	$186.21	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $275.42	Professional		$69.18	$154.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $151.36	Facility		$53.70	$63.10	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Professional		$63.10	$63.10	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $151.36	Professional		$58.88	$125.89	$151.36