Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.48 / $308.85 / $806.31	Facility		$122.48	$308.85	$806.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $115.86 / $198.61	Professional		$92.69	$115.86	$198.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $408.81 / $849.07	Facility		$215.16	$408.81	$849.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $91.03 / $231.71	Professional		$5.00	$91.03	$231.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $165.51 / $165.51	Facility		$80.00	$165.51	$165.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $363.62 / $731.96	Facility		$109.93	$363.62	$731.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $131.65 / $281.76	Professional		$82.77	$131.65	$281.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $786.17 / $786.17	Facility		$296.06	$786.17	$786.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $827.55 / $827.55 / $1,241.33	Professional		$827.55	$827.55	$1,241.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $165.51 / $264.82	Facility		$100.96	$165.51	$264.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $165.51 / $248.27	Professional		$156.51	$165.51	$248.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $198.61 / $372.40	Professional		$107.58	$198.61	$372.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $195.30 / $641.66	Facility		$110.83	$195.30	$641.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $190.34 / $281.76	Professional		$83.63	$190.34	$281.76
United Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $69.51 / $165.51	Facility		$59.58	$69.51	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.69 / $105.93	Professional		$69.51	$69.69	$105.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $165.51 / $223.44	Professional		$64.55	$165.51	$223.44