Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $101.37 / $154.77	Facility		$67.77	$101.37	$154.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $111.37 / $176.24	Professional		$75.77	$111.37	$176.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $122.83 / $245.70	Facility		$59.19	$122.83	$245.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $113.55 / $175.46	Professional		$75.80	$113.55	$175.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $80.00	Facility		$70.95	$70.95	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $136.91 / $220.20	Professional		$90.10	$136.91	$220.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $403.85	Facility		$55.00	$55.00	$403.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $906.80 / $1,081.05	Professional		$589.44	$906.80	$1,081.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $125.44 / $192.36	Facility		$82.09	$125.44	$192.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $149.80 / $220.55	Professional		$104.70	$149.80	$220.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Professional		$136.19	$136.19	$136.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $125.67 / $192.37	Facility		$82.09	$125.67	$192.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $140.55 / $234.88	Professional		$92.06	$140.55	$234.88
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,405.00	Facility		$161.00	$949.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $126.50 / $202.31	Professional		$94.19	$126.50	$202.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $119.05 / $166.62	Professional		$105.45	$119.05	$166.62