Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $707.95	Facility		$81.28	$204.17	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $165.96	Professional		$81.28	$109.65	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $426.58 / $724.44	Facility		$162.18	$426.58	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $77.62 / $138.04	Professional		$5.01	$77.62	$138.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $138.04 / $138.04	Facility		$79.43	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $602.56	Facility		$89.13	$245.47	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $234.42	Professional		$61.66	$87.10	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,023.29	Professional		$691.83	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $269.15	Facility		$97.72	$138.04	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $109.65 / $169.82	Professional		$7.08	$109.65	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $295.12	Professional		$138.04	$147.91	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $398.11	Facility		$97.72	$147.91	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $213.80	Professional		$61.66	$93.33	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $138.04	Facility		$48.98	$57.54	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Professional		$57.54	$57.54	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $138.04	Professional		$53.70	$114.82	$138.04