Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Facility		$93.33	$93.33	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $158.49	Professional		$85.11	$102.33	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $213.80 / $213.80	Facility		$79.43	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $269.15	Facility		$91.20	$165.96	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $223.87	Professional		$89.13	$107.15	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $794.33	Professional		$56.23	$56.23	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $281.84	Facility		$91.20	$158.49	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $208.93	Facility		$56.23	$89.13	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $128.82	Professional		$74.13	$109.65	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80