Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $109.26 / $728.57	Facility		$56.51	$109.26	$728.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.21 / $67.33 / $103.23	Professional		$55.21	$67.33	$103.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $97.50 / $200.78	Facility		$34.09	$97.50	$200.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $58.40 / $109.38	Professional		$33.86	$58.40	$109.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.25 / $70.25 / $70.25	Facility		$70.25	$70.25	$70.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $47.83 / $121.31	Facility		$47.83	$47.83	$121.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $92.16 / $139.88	Professional		$68.08	$92.16	$139.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $501.12 / $519.52 / $607.73	Professional		$501.12	$519.52	$607.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $88.57 / $152.05	Facility		$67.33	$88.57	$152.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $105.42 / $124.02	Professional		$75.79	$105.42	$124.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $93.90 / $93.90	Professional		$93.90	$93.90	$93.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $88.84 / $155.63	Facility		$68.00	$88.84	$155.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $94.27 / $151.44	Professional		$68.87	$94.27	$151.44
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $77.44 / $122.71	Professional		$57.18	$77.44	$122.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $66.22 / $92.76	Professional		$58.80	$66.22	$92.76