Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $199.53	Professional		$120.23	$165.96	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $1,905.46	Professional		$1,230.27	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $181.97 / $234.42	Facility		$141.25	$181.97	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $199.53	Professional		$141.25	$177.83	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $109.65	Professional		$100.00	$109.65	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $234.42	Facility		$141.25	$177.83	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $138.04	Professional		$79.43	$117.49	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42