Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $76.45 / $77.93	Facility		$74.98	$76.45	$77.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $77.93 / $122.20	Professional		$70.56	$77.93	$122.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $99.98 / $99.98	Professional		$99.98	$99.98	$99.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $167.92 / $167.92	Facility		$167.92	$167.92	$167.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $90.28	Professional		$65.90	$65.90	$90.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $283.31 / $703.87 / $703.87	Facility		$283.31	$703.87	$703.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $831.20 / $1,046.70	Professional		$831.20	$831.20	$1,046.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $115.00 / $167.92	Facility		$44.95	$115.00	$167.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $142.00 / $167.92	Professional		$44.95	$142.00	$167.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $184.71 / $377.82	Professional		$167.92	$184.71	$377.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $112.20 / $167.92	Facility		$44.95	$112.20	$167.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $92.99	Professional		$65.90	$65.90	$92.99
United Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $83.90 / $99.88	Professional		$58.02	$83.90	$99.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $83.61 / $167.92	Professional		$81.72	$83.61	$167.92