Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $323.59 / $954.99	Facility		$123.03	$323.59	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $891.25	Professional		$114.82	$158.49	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $954.99	Facility		$199.53	$501.19	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $102.33 / $186.21	Professional		$5.01	$102.33	$186.21
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 $223.87 / $426.58 / $1,174.90	Facility		$223.87	$426.58	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $363.08	Professional		$93.33	$186.21	$363.08
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 $138.04 / $186.21 / $537.03	Facility		$138.04	$186.21	$537.03
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 / $239.88 / $977.24	Facility		$131.83	$239.88	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $338.84	Professional		$95.50	$194.98	$338.84
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