Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $115.13 / $161.15	Facility		$73.94	$115.13	$161.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.28 / $89.00	Professional		$73.94	$74.28	$89.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $127.15 / $242.60	Facility		$50.86	$127.15	$242.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $72.31	Professional		$72.31	$72.31	$72.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $80.00	Facility		$73.94	$73.94	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $73.94	Facility		$69.75	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $351.90 / $369.70	Facility		$93.62	$351.90	$369.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $310.70 / $310.70	Professional		$310.70	$310.70	$310.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $73.94 / $108.33	Facility		$73.55	$73.94	$108.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $75.42 / $122.00	Professional		$73.94	$75.42	$122.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $88.72 / $146.77	Professional		$73.94	$88.72	$146.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $110.89	Facility		$73.94	$73.94	$110.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.95	Professional		$73.94	$73.94	$87.95
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $82.31	Professional		$73.94	$78.38	$82.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $73.94 / $103.52	Professional		$70.37	$73.94	$103.52