Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $122.93 / $837.95	Facility		$74.41	$122.93	$837.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $95.76 / $149.84	Professional		$74.56	$95.76	$149.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.31 / $1,005.89 / $1,711.39	Facility		$393.31	$1,005.89	$1,711.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $78.43 / $126.74	Professional		$26.67	$78.43	$126.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $90.57 / $109.16	Facility		$90.57	$90.57	$109.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $365.53 / $1,292.61	Facility		$140.66	$365.53	$1,292.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $112.77 / $207.21	Professional		$77.91	$112.77	$207.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.15 / $523.64 / $523.64	Facility		$233.15	$523.64	$523.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $734.89 / $823.13	Professional		$734.89	$734.89	$823.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $118.05 / $184.00	Facility		$87.18	$118.05	$184.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $156.91 / $380.40	Professional		$118.88	$156.91	$380.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $79.25 / $167.19	Professional		$27.51	$79.25	$167.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $123.55 / $273.97	Facility		$87.96	$123.55	$273.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $124.93 / $274.98	Professional		$79.29	$124.93	$274.98
United Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $109.02 / $180.27	Professional		$87.66	$109.02	$180.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $90.81 / $129.15	Professional		$81.16	$90.81	$129.15