Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $190.67 / $553.79	Facility		$80.89	$190.67	$553.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $70.62 / $90.95	Professional		$64.20	$70.62	$90.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $107.00 / $107.00	Professional		$90.95	$107.00	$107.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $251.12 / $567.65	Facility		$68.95	$251.12	$567.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $130.46 / $156.30	Professional		$51.36	$130.46	$156.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.20 / $508.25 / $508.25	Facility		$171.20	$508.25	$508.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $535.00 / $802.50	Professional		$535.00	$535.00	$802.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $107.00 / $149.91	Facility		$64.20	$107.00	$149.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $107.00 / $160.50	Professional		$101.65	$107.00	$160.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $133.75 / $240.75	Professional		$96.30	$133.75	$240.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $107.00 / $323.45	Facility		$71.65	$107.00	$323.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $128.40 / $154.08	Professional		$62.60	$128.40	$154.08
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $68.48	Professional		$44.94	$44.94	$68.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $107.00 / $135.44	Professional		$55.43	$107.00	$135.44