Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Facility		$39.31	$39.31	$39.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $42.85	Professional		$39.31	$39.31	$42.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.02 / $645.19 / $2,356.34	Facility		$234.02	$645.19	$2,356.34
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 $37.09 / $39.31 / $39.31	Facility		$37.09	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,710.00 / $1,710.00	Facility		$969.00	$1,710.00	$1,710.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,990.00 / $3,990.00 / $3,990.00	Professional		$3,990.00	$3,990.00	$3,990.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $41.55 / $112.71	Facility		$39.71	$41.55	$112.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $49.14	Professional		$39.31	$39.31	$49.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $148.10 / $302.94	Professional		$42.46	$148.10	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $112.71	Facility		$39.31	$39.31	$112.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $62.59	Professional		$39.31	$39.31	$62.59
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $40.14	Professional		$39.31	$39.31	$40.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.55 / $131.94	Professional		$39.31	$41.55	$131.94