Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $227.50 / $630.95	Facility		$92.65	$227.50	$630.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $79.78 / $105.36	Professional		$75.58	$79.78	$105.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $297.45 / $630.27	Facility		$50.90	$297.45	$630.27
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 $96.26 / $286.11 / $543.52	Facility		$96.26	$286.11	$543.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $148.41 / $177.81	Professional		$71.79	$148.41	$177.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.06 / $579.07 / $579.07	Facility		$195.06	$579.07	$579.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $609.54 / $914.33	Professional		$609.54	$609.54	$914.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $121.91 / $189.66	Facility		$74.37	$121.91	$189.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $121.91 / $182.87	Professional		$115.81	$121.91	$182.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $152.38 / $426.69	Professional		$79.23	$152.38	$426.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.28 / $282.76 / $646.66	Facility		$105.28	$282.76	$646.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.72 / $152.38 / $188.15	Professional		$109.72	$152.38	$188.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $63.22 / $90.31	Professional		$51.20	$63.22	$90.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $121.91 / $846.27	Professional		$63.15	$121.91	$846.27