Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $131.83 / $154.88	Facility		$72.44	$131.83	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $89.13	Professional		$72.44	$74.13	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $128.82 / $239.88	Facility		$51.29	$128.82	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Facility		$74.13	$74.13	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $128.82	Facility		$74.13	$77.62	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Professional		$72.44	$72.44	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $85.11	Professional		$70.79	$74.13	$85.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $100.00 / $131.83	Professional		$0.60	$100.00	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $123.03	Facility		$74.13	$75.86	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $85.11	Professional		$74.13	$74.13	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $83.18	Professional		$74.13	$77.62	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $93.33	Professional		$70.79	$74.13	$93.33