Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $90.30 / $135.51	Facility		$63.34	$90.30	$135.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $97.22 / $154.55	Professional		$70.27	$97.22	$154.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $99.32 / $136.75	Professional		$70.84	$99.32	$136.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $66.06 / $80.00	Facility		$66.06	$66.06	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Facility		$130.86	$130.86	$130.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $121.30 / $186.11	Professional		$82.95	$121.30	$186.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $376.82	Facility		$55.00	$55.00	$376.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $550.72 / $784.48 / $932.33	Professional		$550.72	$784.48	$932.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $109.83 / $172.67	Facility		$74.79	$109.83	$172.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $138.76 / $190.53	Professional		$97.55	$138.76	$190.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.30 / $127.30 / $127.30	Professional		$127.30	$127.30	$127.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $110.33 / $176.75	Facility		$74.79	$110.33	$176.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $127.14 / $203.38	Professional		$84.96	$127.14	$203.38
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $110.43 / $171.90	Professional		$82.17	$110.43	$171.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $103.03 / $143.91	Professional		$91.10	$103.03	$143.91