Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $102.73	Facility		$101.72	$101.72	$102.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $105.78	Professional		$101.72	$101.72	$105.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
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 $95.96 / $101.72 / $101.72	Facility		$95.96	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $515.16 / $515.16	Facility		$229.98	$515.16	$515.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $515.16 / $515.16	Professional		$515.16	$515.16	$515.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $101.72 / $174.82	Facility		$100.72	$101.72	$174.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $127.15	Professional		$101.72	$101.72	$127.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $205.54 / $262.52	Professional		$141.38	$205.54	$262.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $178.94	Facility		$101.72	$101.72	$178.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $129.13	Professional		$101.72	$101.72	$129.13
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $103.04	Professional		$101.72	$101.72	$103.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $101.72 / $137.32	Professional		$100.72	$101.72	$137.32