Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $94.59 / $128.47	Facility		$61.44	$94.59	$128.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $76.19	Professional		$61.44	$62.05	$76.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $203.06 / $405.16	Facility		$82.64	$203.06	$405.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $61.07 / $80.00	Facility		$61.07	$61.07	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $79.48	Facility		$57.96	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $63.75	Professional		$61.44	$61.44	$63.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $375.40 / $375.40	Facility		$93.50	$375.40	$375.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $303.45 / $303.45	Professional		$303.45	$303.45	$303.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $62.97 / $138.24	Facility		$61.44	$62.97	$138.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.67 / $101.38	Professional		$61.44	$62.67	$101.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $67.58 / $137.40	Professional		$60.39	$67.58	$137.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $138.24	Facility		$61.44	$61.44	$138.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $82.50	Professional		$61.44	$61.44	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $68.40	Professional		$61.44	$65.13	$68.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.06 / $86.02	Professional		$61.44	$63.06	$86.02