Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.38 / $295.64 / $828.56	Facility		$111.38	$295.64	$828.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $118.13 / $202.50	Professional		$94.50	$118.13	$202.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $556.88 / $953.44	Facility		$200.81	$556.88	$953.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $89.44 / $168.75	Professional		$5.00	$89.44	$168.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $168.75 / $168.75	Facility		$80.00	$168.75	$168.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $317.00 / $718.62	Facility		$87.40	$317.00	$718.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $160.32 / $265.88	Professional		$79.19	$160.32	$265.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.48 / $801.56 / $801.56	Facility		$328.48	$801.56	$801.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $843.75 / $843.75 / $1,265.63	Professional		$843.75	$843.75	$1,265.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $168.75 / $253.13	Facility		$102.94	$168.75	$253.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $168.75 / $210.94	Professional		$160.31	$168.75	$210.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $202.50 / $379.69	Professional		$109.69	$202.50	$379.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $192.43 / $565.30	Facility		$95.06	$192.43	$565.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $194.06 / $265.88	Professional		$85.46	$194.06	$265.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $108.00	Professional		$70.88	$70.88	$108.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $168.75 / $227.81	Professional		$65.81	$168.75	$227.81