Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $133.80 / $204.24	Facility		$84.88	$133.80	$204.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $145.65 / $232.42	Professional		$95.11	$145.65	$232.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $114.99 / $443.70	Facility		$94.99	$114.99	$443.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $148.97 / $213.01	Professional		$94.99	$148.97	$213.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.36 / $94.98	Facility		$80.00	$93.36	$94.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $178.47 / $290.64	Professional		$112.42	$178.47	$290.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $520.16	Facility		$55.00	$55.00	$520.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,203.35 / $1,430.78	Professional		$900.00	$1,203.35	$1,430.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $162.75 / $246.99	Facility		$105.76	$162.75	$246.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $188.92 / $292.14	Professional		$132.04	$188.92	$292.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $172.82 / $312.49	Professional		$100.86	$172.82	$312.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.90 / $163.05 / $252.00	Facility		$105.90	$163.05	$252.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $186.59 / $309.76	Professional		$115.71	$186.59	$309.76
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 $123.53 / $168.51 / $263.52	Professional		$123.53	$168.51	$263.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $157.11 / $221.10	Professional		$139.69	$157.11	$221.10