Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $125.04 / $2,371.14	Facility		$123.80	$125.04	$2,371.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $134.88	Professional		$123.80	$123.80	$134.88
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 $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.50 / $562.96 / $562.96	Facility		$263.50	$562.96	$562.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,125.88 / $3,125.88 / $3,125.88	Professional		$3,125.88	$3,125.88	$3,125.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $126.06 / $262.45	Facility		$125.04	$126.06	$262.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $154.75	Professional		$123.80	$123.80	$154.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $133.71 / $205.54 / $302.94	Professional		$133.71	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $262.45	Facility		$123.80	$123.80	$262.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $159.38	Professional		$123.80	$123.80	$159.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $126.40	Professional		$123.80	$123.80	$126.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $126.06 / $167.13	Professional		$123.80	$126.06	$167.13