Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $90.30	Facility		$89.41	$89.41	$90.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $94.04	Professional		$89.41	$89.41	$94.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $149.40 / $149.40	Professional		$149.40	$149.40	$149.40
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 $84.35 / $89.41 / $89.41	Facility		$84.35	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $384.93 / $384.93	Facility		$225.00	$384.93	$384.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.14 / $436.14 / $436.14	Professional		$436.14	$436.14	$436.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $93.11 / $189.55	Facility		$89.41	$93.11	$189.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $111.76	Professional		$89.41	$89.41	$111.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $148.10 / $302.94	Professional		$96.56	$148.10	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $189.55	Facility		$89.41	$89.41	$189.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $118.08	Professional		$89.41	$89.41	$118.08
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $90.57	Professional		$89.41	$89.41	$90.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $89.41 / $120.70	Professional		$87.18	$89.41	$120.70