Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $77.28 / $78.77	Facility		$75.80	$77.28	$78.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $78.77 / $111.46	Professional		$66.88	$78.77	$111.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $101.06 / $101.06	Professional		$101.06	$101.06	$101.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $169.73	Facility		$169.73	$169.73	$169.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $76.06	Professional		$76.06	$76.06	$76.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $670.46 / $806.22	Facility		$300.95	$670.46	$806.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $840.16 / $850.46 / $954.68	Professional		$840.16	$850.46	$954.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $113.41 / $169.73	Facility		$41.00	$113.41	$169.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $143.53 / $169.73	Professional		$41.00	$143.53	$169.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $186.70 / $381.89	Professional		$169.73	$186.70	$381.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $113.41 / $169.73	Facility		$41.00	$113.41	$169.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $106.06	Professional		$76.06	$76.06	$106.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $76.53 / $91.11	Professional		$52.92	$76.53	$91.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $76.45 / $169.73	Professional		$76.26	$76.45	$169.73