Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.95 / $4,526.00	Facility		$67.27	$67.95	$4,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $70.64	Professional		$67.27	$67.27	$70.64
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $57.13	Professional		$57.13	$57.13	$57.13
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 $63.47 / $67.27 / $67.27	Facility		$63.47	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $333.17 / $768.75	Facility		$176.32	$333.17	$768.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $410.00 / $779.00	Professional		$410.00	$410.00	$779.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $67.27 / $142.61	Facility		$66.31	$67.27	$142.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $84.09	Professional		$67.27	$67.27	$84.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $148.10 / $302.94	Professional		$72.65	$148.10	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $142.61	Facility		$67.27	$67.27	$142.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $94.33	Professional		$67.27	$67.27	$94.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.54	Professional		$67.27	$67.27	$67.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $67.27 / $90.81	Professional		$66.31	$67.27	$90.81