Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $363.22 / $1,017.89	Facility		$138.90	$363.22	$1,017.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $145.12 / $248.77	Professional		$116.09	$145.12	$248.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.97 / $621.92 / $1,086.30	Facility		$225.97	$621.92	$1,086.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $109.87 / $207.31	Professional		$5.00	$109.87	$207.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $207.31 / $207.31	Facility		$80.00	$207.31	$207.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $486.54 / $924.02	Facility		$134.75	$486.54	$924.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $119.76 / $326.35	Professional		$95.16	$119.76	$326.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $331.70 / $984.72 / $984.72	Facility		$331.70	$984.72	$984.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,032.40 / $1,554.83	Professional		$1,032.40	$1,032.40	$1,554.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $207.31 / $331.70	Facility		$126.46	$207.31	$331.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $259.14	Professional		$207.31	$207.31	$259.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $248.77 / $466.45	Professional		$134.75	$248.77	$466.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $213.44 / $746.56	Facility		$138.82	$213.44	$746.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $195.94 / $324.95	Professional		$98.08	$195.94	$324.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $142.53	Professional		$87.07	$87.07	$142.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $207.31 / $279.87	Professional		$80.84	$207.31	$279.87