Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $164.92 / $1,327.50	Facility		$129.75	$164.92	$1,327.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $161.60 / $251.02	Professional		$129.75	$161.60	$251.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.18 / $482.83 / $772.53	Facility		$198.18	$482.83	$772.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $86.95 / $191.89	Professional		$53.09	$86.95	$191.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $114.21 / $211.62	Facility		$103.27	$114.21	$211.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $159.57	Facility		$159.57	$159.57	$159.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $213.67 / $393.03	Professional		$105.13	$213.67	$393.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $287.07 / $763.83 / $763.83	Facility		$287.07	$763.83	$763.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.19 / $1,279.19 / $1,279.19	Professional		$1,279.19	$1,279.19	$1,279.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.37 / $156.55 / $368.28	Facility		$117.37	$156.55	$368.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $179.52 / $450.76	Professional		$140.38	$179.52	$450.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $101.30 / $200.51	Professional		$40.29	$101.30	$200.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $159.57 / $417.95	Facility		$119.64	$159.57	$417.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $214.09 / $429.20	Professional		$105.13	$214.09	$429.20
United Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $234.21 / $354.88	Professional		$169.64	$234.21	$354.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $114.59 / $162.57	Professional		$102.14	$114.59	$162.57