Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $660.69	Facility		$58.88	$109.65	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $128.82	Professional		$56.23	$74.13	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $208.93 / $338.84	Facility		$72.44	$208.93	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $91.20	Professional		$25.70	$58.88	$91.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $85.11	Facility		$77.62	$81.28	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $177.83 / $302.00	Facility		$61.66	$177.83	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $162.18	Professional		$61.66	$87.10	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $707.95	Professional		$549.54	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $181.97	Facility		$69.18	$102.33	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $173.78	Professional		$63.10	$95.50	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $72.44	Professional		$26.92	$33.11	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $229.09	Professional		$117.49	$165.96	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $190.55	Facility		$70.79	$107.15	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $177.83	Professional		$60.26	$87.10	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $128.82	Professional		$66.07	$83.18	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $104.71	Professional		$83.18	$87.10	$104.71