Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Facility		$182.18	$182.18	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $189.47	Professional		$182.18	$182.18	$189.47
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 $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
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 $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $447.50 / $804.35 / $804.35	Facility		$447.50	$804.35	$804.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $804.35 / $804.35 / $804.35	Professional		$804.35	$804.35	$804.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $386.22	Facility		$182.18	$182.18	$386.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $227.73	Professional		$182.18	$182.18	$227.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $297.06 / $338.80	Professional		$196.76	$297.06	$338.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $386.22	Facility		$182.18	$182.18	$386.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $216.05	Professional		$182.18	$182.18	$216.05
United Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $300.60 / $300.60	Facility		$222.26	$300.60	$300.60
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.91	Professional		$182.18	$182.18	$182.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $245.94	Professional		$182.18	$182.18	$245.94