Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $84.20 / $85.82	Facility		$82.58	$84.20	$85.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $85.82 / $121.45	Professional		$72.87	$85.82	$121.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $88.01 / $110.11	Professional		$88.01	$88.01	$110.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $184.93 / $184.93	Facility		$184.93	$184.93	$184.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $315.64 / $735.04 / $878.42	Facility		$315.64	$735.04	$878.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $980.55 / $1,004.09 / $1,040.25	Professional		$980.55	$1,004.09	$1,040.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.56 / $184.93	Facility		$44.67	$123.56	$184.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $156.38 / $184.93	Professional		$44.67	$156.38	$184.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $203.42 / $416.09	Professional		$184.93	$203.42	$416.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $123.56 / $184.93	Facility		$44.67	$123.56	$184.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $89.26	Professional		$63.26	$63.26	$89.26
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $83.38 / $99.27	Professional		$57.66	$83.38	$99.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $83.09 / $184.93	Professional		$81.20	$83.09	$184.93