Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $240.02 / $672.67	Facility		$90.42	$240.02	$672.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $95.90 / $164.40	Professional		$76.72	$95.90	$164.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $72.61 / $121.93	Professional		$5.00	$72.61	$121.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $137.00 / $137.00	Facility		$80.00	$137.00	$137.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $300.99 / $609.98	Facility		$91.27	$300.99	$609.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $76.61 / $213.75	Professional		$62.34	$76.61	$213.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.20 / $650.75 / $650.75	Facility		$219.20	$650.75	$650.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $1,027.50	Professional		$685.00	$685.00	$1,027.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $137.00 / $205.50	Facility		$83.57	$137.00	$205.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $171.25	Professional		$137.00	$137.00	$171.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $164.40 / $308.25	Professional		$89.05	$164.40	$308.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $146.93 / $493.55	Facility		$93.06	$146.93	$493.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $129.61 / $207.89	Professional		$63.01	$129.61	$207.89
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $87.68	Professional		$57.54	$57.54	$87.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $137.00 / $184.95	Professional		$53.43	$137.00	$184.95