Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $146.94	Facility		$145.49	$145.49	$146.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $149.85	Professional		$145.49	$145.49	$149.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
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 $137.25 / $145.49 / $145.49	Facility		$137.25	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $516.39 / $516.39	Facility		$216.00	$516.39	$516.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $516.39 / $516.39 / $625.67	Professional		$516.39	$516.39	$625.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $145.49 / $308.44	Facility		$127.55	$145.49	$308.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $181.86	Professional		$145.49	$145.49	$181.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $202.23 / $302.94	Professional		$148.10	$202.23	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $307.85	Facility		$145.49	$145.49	$307.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $176.86	Professional		$145.49	$145.49	$176.86
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $145.49 / $196.41	Professional		$116.96	$145.49	$196.41