Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $423.81 / $1,187.73	Facility		$159.65	$423.81	$1,187.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $169.33 / $290.27	Professional		$135.46	$169.33	$290.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $798.27 / $1,366.74	Facility		$290.27	$798.27	$1,366.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $128.21 / $241.90	Professional		$5.00	$128.21	$241.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $241.90 / $241.90	Facility		$80.00	$241.90	$241.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.92 / $528.33 / $1,078.04	Facility		$193.92	$528.33	$1,078.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $159.56 / $452.73	Professional		$128.77	$159.56	$452.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $387.04 / $1,149.03 / $1,149.03	Facility		$387.04	$1,149.03	$1,149.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,209.50 / $1,814.25	Professional		$1,209.50	$1,209.50	$1,814.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $241.90 / $387.04	Facility		$147.56	$241.90	$387.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $302.38	Professional		$241.90	$241.90	$302.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $157.24 / $290.27 / $544.27	Professional		$157.24	$290.27	$544.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $262.89 / $871.19	Facility		$169.33	$262.89	$871.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $229.86 / $424.51	Professional		$130.97	$229.86	$424.51
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $125.43 / $179.18	Professional		$101.60	$125.43	$179.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $241.90 / $326.57	Professional		$94.34	$241.90	$326.57