Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.82 / $400.48 / $1,045.54	Facility		$158.82	$400.48	$1,045.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.19 / $150.24 / $257.54	Professional		$120.19	$150.24	$257.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.86 / $522.39 / $1,103.15	Facility		$276.86	$522.39	$1,103.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $118.04 / $300.47	Professional		$5.00	$118.04	$300.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $214.62 / $214.62	Facility		$80.00	$214.62	$214.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.37 / $471.51 / $955.73	Facility		$145.37	$471.51	$955.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $170.95 / $365.46	Professional		$108.69	$170.95	$365.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $343.39 / $1,019.45 / $1,019.45	Facility		$343.39	$1,019.45	$1,019.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.09 / $1,073.09 / $1,609.65	Professional		$1,073.09	$1,073.09	$1,609.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $214.62 / $321.93	Facility		$130.91	$214.62	$321.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $214.62 / $268.27	Professional		$202.97	$214.62	$268.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $257.54 / $482.89	Professional		$139.50	$257.54	$482.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $257.54 / $832.17	Facility		$145.22	$257.54	$832.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $246.81 / $365.46	Professional		$108.69	$246.81	$365.46
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $92.16 / $147.55	Professional		$90.14	$92.16	$147.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $214.62 / $289.74	Professional		$83.70	$214.62	$289.74