Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.81 / $151.33 / $1,541.43	Facility		$111.81	$151.33	$1,541.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $143.85 / $217.60	Professional		$111.81	$143.85	$217.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.05 / $1,751.22 / $2,907.10	Facility		$708.05	$1,751.22	$2,907.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $141.58 / $205.79	Professional		$74.77	$141.58	$205.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $151.63 / $161.61	Facility		$151.63	$151.63	$161.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.88 / $467.37 / $2,405.48	Facility		$172.88	$467.37	$2,405.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $163.00 / $306.76	Professional		$119.86	$163.00	$306.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.59 / $868.30 / $868.30	Facility		$350.59	$868.30	$868.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.83 / $1,102.83 / $1,366.88	Professional		$1,102.83	$1,102.83	$1,366.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.53 / $161.24 / $277.31	Facility		$127.53	$161.24	$277.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $262.05 / $635.28	Professional		$198.53	$262.05	$635.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $136.55 / $290.89	Professional		$64.62	$136.55	$290.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $166.76 / $390.91	Facility		$130.19	$166.76	$390.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $182.09 / $412.88	Professional		$122.17	$182.09	$412.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $157.71 / $249.02	Professional		$125.26	$157.71	$249.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $152.18 / $215.77	Professional		$135.55	$152.18	$215.77