Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $101.28 / $1,070.91	Facility		$78.05	$101.28	$1,070.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $100.45 / $197.23	Professional		$78.05	$100.45	$197.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $111.16 / $187.76	Facility		$47.53	$111.16	$187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $136.15 / $177.14	Professional		$103.87	$136.15	$177.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $115.06 / $122.37	Facility		$110.53	$115.06	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.38 / $292.05 / $1,013.26	Facility		$112.38	$292.05	$1,013.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $146.84 / $277.36	Professional		$94.71	$146.84	$277.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.58 / $607.26 / $607.26	Facility		$269.58	$607.26	$607.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.50 / $1,130.08 / $1,130.08	Professional		$1,114.50	$1,130.08	$1,130.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $198.27 / $349.84	Facility		$111.43	$198.27	$349.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $188.40 / $271.83	Professional		$111.43	$188.40	$271.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $100.83 / $187.81	Professional		$46.13	$100.83	$187.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $215.80 / $483.59	Facility		$111.43	$215.80	$483.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $150.49 / $288.37	Professional		$98.18	$150.49	$288.37
United Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $448.26 / $448.26	Facility		$159.47	$448.26	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $146.88 / $224.68	Professional		$113.03	$146.88	$224.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $111.43 / $155.34	Professional		$97.45	$111.43	$155.34