Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Professional		$112.20	$112.20	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $125.89	Facility		$79.43	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $239.88	Facility		$112.20	$114.82	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $229.09	Professional		$112.20	$128.82	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $524.81	Professional		$151.36	$151.36	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $398.11	Facility		$112.20	$120.23	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89