Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $143.30 / $418.07	Facility		$68.20	$143.30	$418.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.88 / $86.70	Professional		$68.20	$68.88	$86.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $118.23	Facility		$65.31	$65.31	$118.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $65.31 / $65.31	Professional		$65.31	$65.31	$65.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $81.41	Facility		$80.00	$80.00	$81.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $68.20 / $68.20	Facility		$64.34	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $812.19 / $812.19	Facility		$113.40	$812.19	$812.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $944.26 / $1,771.57 / $1,771.57	Professional		$944.26	$1,771.57	$1,771.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $84.88 / $339.19	Facility		$68.20	$84.88	$339.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $69.56 / $112.53	Professional		$68.20	$69.56	$112.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $87.92 / $168.10	Professional		$68.20	$87.92	$168.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $81.84 / $339.19	Facility		$68.20	$81.84	$339.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $200.61	Professional		$68.20	$68.20	$200.61
United Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $63.10 / $98.22	Facility		$59.53	$63.10	$98.22
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $75.92	Professional		$68.20	$72.29	$75.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $78.81 / $168.30	Professional		$68.20	$78.81	$168.30