Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $338.57 / $966.26	Facility		$127.55	$338.57	$966.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $139.13 / $231.90	Professional		$108.22	$139.13	$231.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $470.37 / $991.37	Facility		$235.76	$470.37	$991.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $106.29 / $270.55	Professional		$5.00	$106.29	$270.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $191.32 / $191.32 / $193.25	Facility		$191.32	$191.32	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $421.24 / $860.62	Facility		$128.72	$421.24	$860.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $108.27 / $302.06	Professional		$87.99	$108.27	$302.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $355.38 / $917.94 / $917.94	Facility		$355.38	$917.94	$917.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $966.25 / $966.25 / $1,449.38	Professional		$966.25	$966.25	$1,449.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $193.25 / $309.20	Facility		$115.95	$193.25	$309.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $241.56	Professional		$193.25	$193.25	$241.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $231.90 / $434.81	Professional		$125.61	$231.90	$434.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.63 / $210.02 / $647.39	Facility		$134.63	$210.02	$647.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $182.49 / $293.62	Professional		$89.04	$182.49	$293.62
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $123.68	Professional		$81.17	$81.17	$123.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $193.25 / $260.89	Professional		$75.37	$193.25	$260.89