Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $977.24	Facility		$83.18	$112.20	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $151.36	Professional		$79.43	$104.71	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $645.65 / $1,023.29	Facility		$281.84	$645.65	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $100.00 / $117.49	Professional		$23.44	$100.00	$117.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $104.71 / $109.65	Facility		$102.33	$104.71	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $389.05 / $741.31	Facility		$128.82	$389.05	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $954.99	Professional		$776.25	$954.99	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $229.09	Facility		$95.50	$131.83	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $239.88	Professional		$83.18	$114.82	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $97.72	Professional		$14.79	$33.11	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $331.13	Professional		$162.18	$213.80	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $275.42	Facility		$95.50	$131.83	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $251.19	Professional		$81.28	$117.49	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $501.19	Facility		$194.98	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $169.82	Professional		$85.11	$104.71	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $131.83	Professional		$104.71	$109.65	$131.83