Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $99.17 / $997.29	Facility		$77.03	$99.17	$997.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $100.63 / $156.66	Professional		$77.03	$100.63	$156.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.43 / $1,804.17 / $2,918.45	Facility		$736.43	$1,804.17	$2,918.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $97.90 / $150.24	Professional		$61.49	$97.90	$150.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $98.39 / $109.93	Facility		$98.39	$98.39	$109.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.37 / $388.82 / $2,249.39	Facility		$152.37	$388.82	$2,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $127.34 / $275.55	Professional		$82.12	$127.34	$275.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $344.72 / $500.82 / $558.27	Facility		$344.72	$500.82	$558.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.72 / $1,222.32 / $1,222.32	Professional		$1,186.72	$1,222.32	$1,222.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $148.94 / $290.85	Facility		$95.02	$148.94	$290.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $169.72 / $268.77	Professional		$128.58	$169.72	$268.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $76.62 / $170.63	Professional		$41.58	$76.62	$170.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.81 / $159.71 / $343.08	Facility		$95.81	$159.71	$343.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $137.72 / $310.61	Professional		$83.97	$137.72	$310.61
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $126.11 / $221.22	Professional		$92.10	$126.11	$221.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $98.81 / $139.71	Professional		$87.79	$98.81	$139.71