Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $136.99 / $57,982.96	Facility		$82.08	$136.99	$57,982.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.73 / $98.49	Professional		$82.08	$82.73	$98.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $210.43 / $21,916.48	Facility		$72.98	$210.43	$21,916.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $80.14 / $80.14	Professional		$80.14	$80.14	$80.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $82.08	Facility		$80.00	$80.00	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.43 / $82.07 / $82.07	Facility		$77.43	$82.07	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $337.90 / $410.40	Facility		$101.80	$337.90	$410.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $337.90 / $337.90 / $337.90	Professional		$337.90	$337.90	$337.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $82.08 / $172.81	Facility		$81.91	$82.08	$172.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $83.72 / $135.43	Professional		$82.08	$83.72	$135.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $90.28 / $169.14	Professional		$77.97	$90.28	$169.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $152.66	Facility		$82.08	$82.08	$152.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $95.66	Professional		$82.07	$82.07	$95.66
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $87.00 / $91.37	Professional		$82.08	$87.00	$91.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $82.08 / $114.91	Professional		$76.53	$82.08	$114.91