Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Facility		$87.98	$87.98	$88.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $91.50	Professional		$87.98	$87.98	$91.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.64 / $257.31 / $701.75	Facility		$195.64	$257.31	$701.75
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 $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $147.94 / $530.54	Facility		$117.03	$147.94	$530.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $450.24 / $558.10 / $578.88	Professional		$450.24	$558.10	$578.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $87.98 / $186.52	Facility		$80.48	$87.98	$186.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $109.98	Professional		$87.98	$87.98	$109.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $205.54 / $302.94	Professional		$95.02	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $186.16	Facility		$87.98	$87.98	$186.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $116.20	Professional		$87.98	$87.98	$116.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $118.77	Professional		$87.98	$87.98	$118.77