Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $214.12 / $600.10	Facility		$80.67	$214.12	$600.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $90.44 / $146.66	Professional		$68.44	$90.44	$146.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.21 / $422.88 / $771.21	Facility		$150.21	$422.88	$771.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $67.22 / $171.11	Professional		$5.00	$67.22	$171.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $122.22 / $122.22	Facility		$80.00	$122.22	$122.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.98 / $266.92 / $545.07	Facility		$97.98	$266.92	$545.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.01 / $80.55 / $228.55	Professional		$65.01	$80.55	$228.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.31 / $580.54 / $580.54	Facility		$242.31	$580.54	$580.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $611.10 / $916.65	Professional		$611.10	$611.10	$916.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $122.22 / $195.55	Facility		$73.33	$122.22	$195.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $152.78	Professional		$122.22	$122.22	$152.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $146.66 / $275.00	Professional		$79.44	$146.66	$275.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $132.83 / $439.96	Facility		$85.55	$132.83	$439.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $116.22 / $214.30	Professional		$66.11	$116.22	$214.30
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $51.33 / $122.22	Facility		$44.00	$51.33	$122.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.37 / $90.53	Professional		$51.33	$63.37	$90.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $122.22 / $165.00	Professional		$47.67	$122.22	$165.00