Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Facility		$76.09	$76.09	$76.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $82.94	Professional		$76.09	$76.09	$82.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $8.66 / $23.63	Facility		$6.59	$8.66	$23.63
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 $71.78 / $76.09 / $76.09	Facility		$71.78	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.18 / $375.43 / $671.00	Facility		$285.18	$375.43	$671.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $404.97 / $408.74 / $1,274.90	Professional		$404.97	$408.74	$1,274.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $79.23 / $161.31	Facility		$76.84	$79.23	$161.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $95.11	Professional		$76.09	$76.09	$95.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $158.86 / $302.94	Professional		$82.18	$158.86	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $161.31	Facility		$76.09	$76.09	$161.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $106.29	Professional		$76.09	$76.09	$106.29
United Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $142.47 / $142.47	Facility		$142.47	$142.47	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $77.08	Professional		$76.09	$76.09	$77.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $79.23 / $102.72	Professional		$76.09	$79.23	$102.72