Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $549.54	Facility		$79.43	$173.78	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $134.90	Professional		$75.86	$97.72	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $295.12 / $630.96	Facility		$51.29	$295.12	$630.96
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 Facility Modifier Low / Median / High Price $95.50 / $245.47 / $537.03	Facility		$95.50	$245.47	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $177.83	Professional		$72.44	$147.91	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $912.01	Professional		$616.60	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $229.09	Facility		$91.20	$123.03	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $151.36	Professional		$72.44	$97.72	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $257.04	Professional		$117.49	$131.83	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $380.19	Facility		$91.20	$134.90	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $229.09	Professional		$72.44	$134.90	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $123.03	Facility		$43.65	$51.29	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $91.20	Professional		$51.29	$63.10	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $123.03	Professional		$47.86	$123.03	$123.03