Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.14 / $101.48 / $1,080.99	Facility		$79.14	$101.48	$1,080.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $101.48 / $150.10	Professional		$79.14	$101.48	$150.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.96 / $601.24 / $995.08	Facility		$252.96	$601.24	$995.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $45.75 / $128.53	Professional		$23.89	$45.75	$128.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $104.12 / $110.90	Facility		$104.12	$104.12	$110.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $395.11 / $819.29	Facility		$164.25	$395.11	$819.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $112.03 / $213.24	Professional		$80.98	$112.03	$213.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.18 / $610.71 / $610.71	Facility		$241.18	$610.71	$610.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $780.47 / $780.47 / $953.18	Professional		$780.47	$780.47	$953.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $115.87 / $192.69	Facility		$93.00	$115.87	$192.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $180.92 / $274.87	Professional		$137.06	$180.92	$274.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $214.50 / $332.00	Professional		$147.19	$214.50	$332.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.22 / $120.00 / $277.55	Facility		$93.22	$120.00	$277.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $128.46 / $285.19	Professional		$81.84	$128.46	$285.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $108.34 / $179.13	Professional		$85.47	$108.34	$179.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $104.29 / $148.97	Professional		$93.58	$104.29	$148.97