Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $74.50 / $793.53	Facility		$58.11	$74.50	$793.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $73.91 / $107.12	Professional		$58.11	$73.91	$107.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $488.35 / $874.48	Facility		$182.22	$488.35	$874.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $38.97 / $96.29	Professional		$20.35	$38.97	$96.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $76.83 / $81.87	Facility		$76.83	$76.83	$81.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $263.02 / $632.71	Facility		$102.96	$263.02	$632.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $76.61 / $153.05	Professional		$53.36	$76.61	$153.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $448.83 / $448.83	Facility		$177.63	$448.83	$448.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $572.92 / $572.92 / $702.90	Professional		$572.92	$572.92	$702.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $78.37 / $138.35	Facility		$55.78	$78.37	$138.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $133.44 / $201.78	Professional		$101.09	$133.44	$201.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $147.00 / $243.30	Professional		$74.30	$147.00	$243.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $81.47 / $195.71	Facility		$56.76	$81.47	$195.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $89.12 / $209.35	Professional		$55.90	$89.12	$209.35
United Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $339.25 / $410.47	Facility		$140.91	$339.25	$410.47
United Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $75.03 / $125.94	Professional		$58.74	$75.03	$125.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $76.98 / $109.82	Professional		$69.02	$76.98	$109.82