Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $74.16 / $75.58	Facility		$72.73	$74.16	$75.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $75.58 / $121.65	Professional		$68.45	$75.58	$121.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $96.97 / $96.97	Professional		$96.97	$96.97	$96.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $162.87 / $162.87	Facility		$162.87	$162.87	$162.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $701.53 / $715.54 / $715.54	Facility		$701.53	$715.54	$715.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $892.29 / $892.29 / $1,041.23	Professional		$892.29	$892.29	$1,041.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $112.69 / $162.87	Facility		$43.54	$112.69	$162.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $146.58 / $180.26	Professional		$43.54	$146.58	$180.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $179.16 / $366.46	Professional		$162.87	$179.16	$366.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $112.36 / $162.87	Facility		$43.54	$112.36	$162.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $115.73	Professional		$82.02	$82.02	$115.73
United Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $81.28 / $96.76	Professional		$56.21	$81.28	$96.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $82.80 / $162.87	Professional		$81.00	$82.80	$162.87