Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.79 / $95.88 / $644.40	Facility		$44.79	$95.88	$644.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $60.58 / $104.30	Professional		$47.65	$60.58	$104.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.67 / $605.90 / $995.08	Facility		$258.67	$605.90	$995.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $63.14 / $84.55	Professional		$27.87	$63.14	$84.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $65.02 / $71.33	Facility		$64.17	$65.02	$71.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.90 / $233.77 / $819.29	Facility		$135.90	$233.77	$819.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $87.52 / $182.55	Professional		$55.48	$87.52	$182.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.05 / $368.74 / $368.74	Facility		$175.05	$368.74	$368.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $678.50 / $698.85 / $698.85	Professional		$678.50	$698.85	$698.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $80.28 / $163.74	Facility		$55.13	$80.28	$163.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $111.01 / $269.12	Professional		$84.10	$111.01	$269.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $180.90 / $275.00	Professional		$150.19	$180.90	$275.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $88.45 / $226.24	Facility		$56.50	$88.45	$226.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $96.56 / $191.29	Professional		$57.83	$96.56	$191.29
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $352.10 / $528.75	Facility		$230.13	$352.10	$528.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $86.46 / $141.94	Professional		$64.19	$86.46	$141.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $64.37 / $91.37	Professional		$57.42	$64.37	$91.37