Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $324.32 / $908.94	Facility		$124.03	$324.32	$908.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $136.99 / $222.14	Professional		$103.67	$136.99	$222.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.08 / $583.13 / $971.88	Facility		$198.08	$583.13	$971.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $86.54 / $177.72	Professional		$4.67	$86.54	$177.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $185.12 / $185.12	Facility		$80.00	$185.12	$185.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $435.59 / $1,101.31	Facility		$252.80	$435.59	$1,101.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $175.77 / $315.36	Professional		$93.76	$175.77	$315.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.19 / $879.32 / $879.32	Facility		$296.19	$879.32	$879.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $925.60 / $925.60 / $1,388.40	Professional		$925.60	$925.60	$1,388.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $185.12 / $277.68	Facility		$112.92	$185.12	$277.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $277.68	Professional		$185.12	$185.12	$277.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $222.14 / $416.52	Professional		$120.33	$222.14	$416.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $249.91 / $980.80	Facility		$129.58	$249.91	$980.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $212.89 / $323.95	Professional		$94.42	$212.89	$323.95
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $111.07	Professional		$77.75	$77.75	$111.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $185.12 / $249.91	Professional		$72.20	$185.12	$249.91