Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $125.97 / $7,627.53	Facility		$69.37	$125.97	$7,627.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.06 / $87.40	Professional		$69.37	$70.06	$87.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $260.79 / $520.35	Facility		$103.04	$260.79	$520.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $83.88 / $83.88	Professional		$83.88	$83.88	$83.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $55.43 / $80.00	Facility		$55.43	$55.43	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $69.37 / $95.37	Facility		$63.71	$69.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $457.60 / $457.60	Facility		$112.20	$457.60	$457.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $317.82 / $317.82 / $317.82	Professional		$317.82	$317.82	$317.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $77.48 / $146.04	Facility		$69.37	$77.48	$146.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.76 / $114.46	Professional		$69.37	$70.76	$114.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $69.37 / $121.39	Professional		$52.66	$69.37	$121.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $137.28	Facility		$69.37	$69.37	$137.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $86.66	Professional		$69.37	$69.37	$86.66
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $77.22	Professional		$69.37	$73.53	$77.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $71.98 / $97.12	Professional		$69.37	$71.98	$97.12