Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.21 / $186.30 / $286.08	Facility		$113.21	$186.30	$286.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $202.40 / $308.64	Professional		$125.89	$202.40	$308.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.13 / $211.34 / $432.60	Facility		$101.13	$211.34	$432.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $208.54 / $317.25	Professional		$126.85	$208.54	$317.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $127.60 / $129.35	Facility		$80.00	$127.60	$129.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.64 / $234.64 / $234.64	Facility		$234.64	$234.64	$234.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $239.29 / $393.49	Professional		$150.00	$239.29	$393.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $705.00	Facility		$55.00	$55.00	$705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.16 / $1,686.96 / $2,009.93	Professional		$1,002.16	$1,686.96	$2,009.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $219.16 / $329.03	Facility		$137.66	$219.16	$329.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $254.50 / $409.94	Professional		$177.88	$254.50	$409.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $185.30 / $185.30	Professional		$185.30	$185.30	$185.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $220.06 / $334.79	Facility		$138.00	$220.06	$334.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $251.43 / $424.75	Professional		$153.94	$251.43	$424.75
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $227.41 / $361.60	Professional		$168.36	$227.41	$361.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $220.06 / $310.37	Professional		$196.01	$220.06	$310.37