Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $66.06	Facility		$65.41	$65.41	$66.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $68.68	Professional		$65.41	$65.41	$68.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $134.24 / $267.85	Facility		$53.04	$134.24	$267.85
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 $61.70 / $65.40 / $65.40	Facility		$61.70	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $288.80 / $288.80	Facility		$87.01	$288.80	$288.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.80 / $288.80 / $360.81	Professional		$288.80	$288.80	$360.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $65.41 / $103.34	Facility		$34.81	$65.41	$103.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $81.76	Professional		$65.41	$65.41	$81.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $70.64 / $148.10	Professional		$54.70	$70.64	$148.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $65.41 / $103.34	Facility		$35.04	$65.41	$103.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $78.48	Professional		$65.40	$65.40	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $66.26	Professional		$65.41	$65.41	$66.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $88.30	Professional		$65.41	$65.41	$88.30