Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $72.93 / $199.75	Facility		$38.75	$72.93	$199.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $87.73 / $117.85	Professional		$68.52	$87.73	$117.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $200.50 / $365.49	Facility		$83.92	$200.50	$365.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $61.89 / $177.93	Professional		$51.62	$61.89	$177.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Facility		$60.31	$60.31	$60.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.65 / $304.06 / $1,013.26	Facility		$118.65	$304.06	$1,013.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $132.08 / $248.74	Professional		$85.58	$132.08	$248.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.77 / $682.45 / $797.62	Facility		$233.77	$682.45	$797.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $855.68 / $1,194.00 / $1,194.00	Professional		$855.68	$1,194.00	$1,194.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $158.16 / $219.78	Facility		$64.37	$158.16	$219.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $98.49 / $111.57	Professional		$60.31	$98.49	$111.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $94.05 / $234.17	Professional		$63.33	$94.05	$234.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $168.05 / $337.27	Facility		$64.92	$168.05	$337.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $132.08 / $259.56	Professional		$87.69	$132.08	$259.56
United Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $204.45 / $312.73	Professional		$103.86	$204.45	$312.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.04 / $237.04 / $320.00	Professional		$237.04	$237.04	$320.00