Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $237.01 / $929.90	Facility		$91.52	$237.01	$929.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $106.16 / $179.85	Professional		$89.07	$106.16	$179.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $383.28 / $679.19	Facility		$156.41	$383.28	$679.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $103.42 / $103.42	Professional		$103.42	$103.42	$103.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $79.45	Facility		$75.80	$75.80	$79.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $405.31 / $769.80	Facility		$128.44	$405.31	$769.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $137.08 / $263.64	Professional		$107.95	$137.08	$263.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $890.40 / $1,120.72 / $1,190.96	Facility		$890.40	$1,120.72	$1,190.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $847.87 / $1,039.34	Professional		$847.87	$847.87	$1,039.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $131.37 / $259.77	Facility		$80.55	$131.37	$259.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $112.18 / $171.59	Professional		$112.18	$112.18	$171.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $144.82 / $225.20	Professional		$92.18	$144.82	$225.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $149.16 / $481.02	Facility		$86.10	$149.16	$481.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $139.06 / $272.26	Professional		$107.95	$139.06	$272.26
United Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $219.00 / $219.00	Facility		$181.49	$219.00	$219.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $162.81 / $228.90	Professional		$120.66	$162.81	$228.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $150.12 / $191.44	Professional		$128.27	$150.12	$191.44