Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $163.24 / $7,362.10	Facility		$161.62	$163.24	$7,362.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $174.80	Professional		$161.62	$161.62	$174.80
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 $152.47 / $161.62 / $161.62	Facility		$152.47	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $758.53 / $1,674.94	Facility		$379.65	$758.53	$1,674.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.96 / $1,697.27 / $2,009.93	Professional		$1,004.96	$1,697.27	$2,009.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $164.84 / $342.63	Facility		$163.24	$164.84	$342.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $202.03	Professional		$161.62	$161.62	$202.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $224.66 / $386.57	Professional		$148.10	$224.66	$386.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $342.63	Facility		$161.62	$161.62	$342.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $214.76	Professional		$161.62	$161.62	$214.76
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $163.72	Professional		$161.62	$161.62	$163.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $164.84 / $218.19	Professional		$161.62	$164.84	$218.19