Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $116.50 / $253.52	Facility		$64.01	$116.50	$253.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $79.86 / $87.85	Professional		$69.72	$79.86	$87.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $369.63 / $737.50	Facility		$150.41	$369.63	$737.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $72.47 / $72.47	Professional		$72.47	$72.47	$72.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $65.16 / $80.00	Facility		$65.16	$65.16	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $79.86 / $119.62	Facility		$75.34	$79.86	$119.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $760.75 / $760.75	Facility		$176.49	$760.75	$760.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,956.64 / $4,956.64 / $4,956.64	Professional		$4,956.64	$4,956.64	$4,956.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $81.45 / $226.67	Facility		$63.38	$81.45	$226.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $81.45 / $131.77	Professional		$79.86	$81.45	$131.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $87.85 / $227.10	Professional		$65.16	$87.85	$227.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $81.45 / $226.67	Facility		$79.86	$81.45	$226.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $113.01	Professional		$79.86	$79.86	$113.01
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $89.44	Professional		$79.86	$84.65	$89.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $111.80	Professional		$63.38	$79.86	$111.80