Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $305.92 / $858.32	Facility		$104.89	$305.92	$858.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $122.37 / $209.77	Professional		$97.89	$122.37	$209.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $482.48 / $905.52	Facility		$174.81	$482.48	$905.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $96.15 / $139.85	Professional		$5.00	$96.15	$139.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $381.24 / $779.10	Facility		$116.46	$381.24	$779.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $110.98 / $273.38	Professional		$79.63	$110.98	$273.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $312.41 / $830.35 / $830.35	Facility		$312.41	$830.35	$830.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $874.05 / $1,311.08	Professional		$874.05	$874.05	$1,311.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $174.81 / $262.22	Facility		$110.13	$174.81	$262.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $218.51	Professional		$174.81	$174.81	$218.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $209.77 / $393.32	Professional		$113.63	$209.77	$393.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.79 / $187.49 / $585.61	Facility		$121.79	$187.49	$585.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $166.12 / $265.74	Professional		$79.91	$166.12	$265.74
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $111.88	Professional		$73.42	$73.42	$111.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $174.81 / $235.99	Professional		$68.18	$174.81	$235.99