Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $82.93 / $82.93	Facility		$80.90	$82.93	$82.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $82.93 / $85.96	Professional		$80.90	$82.93	$85.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.41 / $263.86 / $524.63	Facility		$106.41	$263.86	$524.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $202.26 / $379.24	Facility		$101.13	$202.26	$379.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $844.00 / $844.00	Professional		$844.00	$844.00	$844.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $92.59 / $202.54	Facility		$82.93	$92.59	$202.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $159.69 / $208.33	Professional		$128.69	$159.69	$208.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $92.59 / $202.54	Facility		$82.93	$92.59	$202.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $101.13	Professional		$85.96	$85.96	$101.13
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $109.22	Professional		$80.90	$80.90	$109.22