Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $92.74 / $246.45	Facility		$63.13	$92.74	$246.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $87.54 / $143.18	Professional		$58.15	$87.54	$143.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $82.23 / $324.67	Facility		$46.21	$82.23	$324.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $91.58 / $136.57	Professional		$63.43	$91.58	$136.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $59.18 / $80.00	Facility		$59.18	$59.18	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $110.79 / $177.46	Professional		$74.78	$110.79	$177.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $336.54	Facility		$55.00	$55.00	$336.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $727.84 / $864.30	Professional		$491.60	$727.84	$864.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $100.93 / $155.10	Facility		$66.80	$100.93	$155.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $124.55 / $176.68	Professional		$87.05	$124.55	$176.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $111.20 / $111.20	Professional		$111.20	$111.20	$111.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $101.38 / $158.76	Facility		$67.16	$101.38	$158.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $115.30 / $189.44	Professional		$77.06	$115.30	$189.44
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 $77.22 / $104.51 / $162.72	Professional		$77.22	$104.51	$162.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $95.45 / $133.50	Professional		$84.48	$95.45	$133.50