Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $630.96	Facility		$75.86	$181.97	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $154.88	Professional		$75.86	$100.00	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $398.11 / $676.08	Facility		$144.54	$398.11	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $67.61 / $165.96	Professional		$5.01	$67.61	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $123.03	Facility		$79.43	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $549.54	Facility		$95.50	$223.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $229.09	Professional		$64.57	$83.18	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $912.01	Professional		$616.60	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $275.42	Facility		$93.33	$123.03	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $97.72 / $147.91	Professional		$7.94	$97.72	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Professional		$102.33	$102.33	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $263.03	Professional		$123.03	$131.83	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $363.08	Facility		$91.20	$134.90	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $229.09	Professional		$64.57	$102.33	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $123.03	Facility		$43.65	$51.29	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $91.20	Professional		$51.29	$63.10	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $102.33 / $123.03	Professional		$47.86	$102.33	$123.03