Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $99.09	Facility		$98.11	$98.11	$99.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $106.48	Professional		$98.11	$98.11	$106.48
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 $92.55 / $98.11 / $98.11	Facility		$92.55	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $413.10 / $1,059.00	Facility		$240.04	$413.10	$1,059.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $635.40 / $1,073.11 / $1,270.80	Professional		$635.40	$1,073.11	$1,270.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $100.40 / $207.99	Facility		$98.11	$100.40	$207.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $122.64	Professional		$98.11	$98.11	$122.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $162.86 / $302.94	Professional		$105.96	$162.86	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $207.99	Facility		$98.11	$98.11	$207.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $129.58	Professional		$98.11	$98.11	$129.58
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $100.66	Professional		$98.11	$98.11	$100.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $98.11 / $132.44	Professional		$93.57	$98.11	$132.44