Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $501.19	Facility		$77.62	$138.04	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $154.88	Professional		$74.13	$100.00	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $1,778.28	Facility		$436.52	$1,071.52	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $79.43 / $107.15	Professional		$23.44	$79.43	$107.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Facility		$91.20	$91.20	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $354.81 / $1,174.90	Facility		$114.82	$354.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $213.80	Professional		$79.43	$114.82	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $831.76	Professional		$741.31	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $234.42	Facility		$91.20	$131.83	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $239.88	Professional		$77.62	$109.65	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $79.43	Professional		$21.38	$33.11	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $91.20 / $213.80	Professional		$26.30	$91.20	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Facility		$91.20	$134.90	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $239.88	Professional		$79.43	$114.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $549.54 / $724.44	Facility		$288.40	$549.54	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $177.83	Professional		$87.10	$102.33	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $114.82	Professional		$91.20	$95.50	$114.82