Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $274.63 / $769.64	Facility		$118.50	$274.63	$769.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $103.46 / $125.40	Professional		$87.78	$103.46	$125.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.59 / $194.98	Facility		$43.33	$111.59	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Professional		$156.75	$156.75	$156.75
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 $101.89 / $356.62 / $699.04	Facility		$101.89	$356.62	$699.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $191.31 / $229.21	Professional		$191.31	$191.31	$229.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $250.80 / $744.56 / $744.56	Facility		$250.80	$744.56	$744.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $780.62 / $780.62 / $1,175.63	Professional		$780.62	$780.62	$1,175.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $156.75 / $231.36	Facility		$87.78	$156.75	$231.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $156.75 / $195.94	Professional		$156.75	$156.75	$195.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $211.61 / $352.69	Professional		$156.75	$211.61	$352.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $156.91 / $473.94	Facility		$94.05	$156.91	$473.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $188.10 / $274.31	Professional		$141.08	$188.10	$274.31
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $195.94	Facility		$156.75	$156.75	$195.94
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $107.77	Professional		$65.84	$65.84	$107.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $156.75	Professional		$13.28	$13.28	$156.75