Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $954.99	Facility		$112.20	$275.42	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $223.87	Professional		$112.20	$151.36	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $123.03	Professional		$5.01	$5.50	$123.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $186.21	Facility		$79.43	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $331.13 / $812.83	Facility		$120.23	$331.13	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $316.23	Professional		$85.11	$117.49	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,380.38	Professional		$933.25	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $354.81	Facility		$131.83	$186.21	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $147.91 / $229.09	Professional		$7.08	$147.91	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $398.11	Professional		$186.21	$199.53	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $537.03	Facility		$131.83	$199.53	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $288.40	Professional		$83.18	$125.89	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $186.21	Facility		$66.07	$77.62	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $125.89	Professional		$77.62	$77.62	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $186.21	Professional		$72.44	$154.88	$186.21