Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $98.92	Facility		$97.94	$97.94	$98.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $107.73	Professional		$97.94	$97.94	$107.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $181.44 / $443.52	Facility		$120.96	$181.44	$443.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $107.52 / $107.52	Professional		$107.52	$107.52	$107.52
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 $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $515.50 / $774.00	Facility		$175.44	$515.50	$774.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $784.32 / $928.80	Professional		$464.40	$784.32	$928.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $107.92 / $211.85	Facility		$97.94	$107.92	$211.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $122.43	Professional		$97.94	$97.94	$122.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $187.70 / $231.27	Professional		$117.53	$187.70	$231.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $211.45	Facility		$97.94	$97.94	$211.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $129.35	Professional		$97.94	$97.94	$129.35
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $100.17	Professional		$97.94	$97.94	$100.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $102.79 / $132.22	Professional		$97.94	$102.79	$132.22