Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $86.16 / $181.57	Facility		$84.06	$86.16	$181.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $86.16 / $99.82	Professional		$84.06	$86.16	$99.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $203.11 / $405.26	Facility		$80.25	$203.11	$405.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $90.66 / $90.66	Professional		$90.66	$90.66	$90.66
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 $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $445.80 / $445.80	Facility		$99.82	$445.80	$445.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $399.27 / $472.82	Professional		$399.27	$399.27	$472.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $105.07 / $177.49	Facility		$85.11	$105.07	$177.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $105.07 / $175.22	Facility		$85.11	$105.07	$175.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $107.30	Professional		$89.31	$89.31	$107.30
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $92.81 / $97.47	Professional		$87.56	$92.81	$97.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $87.56 / $115.39	Professional		$82.42	$87.56	$115.39