Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Facility		$70.70	$70.70	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $74.23	Professional		$70.70	$70.70	$74.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $134.40 / $420.67	Facility		$107.52	$134.40	$420.67
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 $66.69 / $70.70 / $70.70	Facility		$66.69	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $320.72 / $344.25	Facility		$300.00	$320.72	$344.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $405.09 / $453.26	Professional		$345.00	$405.09	$453.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $149.88	Facility		$71.04	$71.04	$149.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $88.38	Professional		$70.70	$70.70	$88.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $157.44 / $302.94	Professional		$76.34	$157.44	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $149.88	Facility		$70.70	$70.70	$149.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $100.04	Professional		$70.70	$70.70	$100.04
United Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $121.34 / $121.34	Facility		$121.34	$121.34	$121.34
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.62	Professional		$70.70	$70.70	$71.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $95.45	Professional		$70.70	$70.70	$95.45