Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $288.40 / $912.01	Facility		$104.71	$288.40	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $208.93	Professional		$104.71	$141.25	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $954.99	Facility		$199.53	$588.84	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $95.50 / $173.78	Professional		$5.01	$95.50	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $173.78	Facility		$79.43	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $776.25	Facility		$114.82	$316.23	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $302.00	Professional		$79.43	$112.20	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,318.26	Professional		$870.96	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $346.74	Facility		$128.82	$173.78	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $141.25 / $218.78	Professional		$7.08	$141.25	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $177.83	Professional		$147.91	$147.91	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $371.54	Professional		$173.78	$190.55	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $512.86	Facility		$125.89	$186.21	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $275.42	Professional		$77.62	$120.23	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $173.78	Facility		$63.10	$74.13	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Professional		$74.13	$74.13	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $173.78	Professional		$69.18	$147.91	$173.78