Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $110.53	Facility		$109.44	$109.44	$110.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $131.32	Professional		$109.44	$109.44	$131.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.10 / $341.31 / $724.19	Facility		$199.10	$341.31	$724.19
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 $103.24 / $109.44 / $109.44	Facility		$103.24	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,668.00 / $1,668.00	Facility		$1,417.80	$1,668.00	$1,668.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,668.00 / $1,884.84 / $1,884.84	Professional		$1,668.00	$1,884.84	$1,884.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $130.11 / $232.01	Facility		$110.53	$130.11	$232.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $136.80	Professional		$109.44	$109.44	$136.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $152.12 / $596.57	Professional		$114.86	$152.12	$596.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $234.32	Facility		$109.44	$109.44	$234.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $154.86	Professional		$109.44	$109.44	$154.86
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $110.86	Professional		$109.44	$109.44	$110.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $130.11 / $265.14	Professional		$109.44	$130.11	$265.14