Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Facility		$53.00	$53.00	$53.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $56.21	Professional		$53.00	$53.00	$56.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.73 / $5.73	Professional		$4.87	$5.73	$5.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $121.37 / $121.37	Facility		$117.28	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.00 / $53.00	Facility		$50.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,140.00 / $1,140.00	Facility		$1,140.00	$1,140.00	$1,140.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.20 / $1,288.20 / $1,288.20	Professional		$1,288.20	$1,288.20	$1,288.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $112.36	Facility		$53.00	$53.00	$112.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $66.25	Professional		$53.00	$53.00	$66.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $148.10 / $488.37	Professional		$57.24	$148.10	$488.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $112.36	Facility		$53.00	$53.00	$112.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $75.00	Professional		$53.00	$53.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $54.38	Professional		$53.00	$53.00	$54.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $71.55 / $76.97	Professional		$53.00	$71.55	$76.97