Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $104.71 / $645.65	Facility		$60.26	$104.71	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $112.20	Professional		$54.95	$77.62	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $891.25	Facility		$177.83	$512.86	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $72.44 / $87.10	Professional		$19.95	$72.44	$87.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $257.04 / $588.84	Facility		$89.13	$257.04	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $162.18	Professional		$54.95	$79.43	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Professional		$575.44	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $165.96	Facility		$60.26	$89.13	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $177.83	Professional		$60.26	$79.43	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $70.79	Professional		$12.59	$33.11	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $245.47	Professional		$81.28	$147.91	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $199.53	Facility		$60.26	$93.33	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $177.83	Professional		$54.95	$81.28	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $363.08	Facility		$141.25	$275.42	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $120.23	Professional		$58.88	$75.86	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $97.72	Professional		$77.62	$81.28	$97.72