Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $369.44 / $972.13	Facility		$146.51	$369.44	$972.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $146.51 / $253.90	Professional		$110.87	$146.51	$253.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.33 / $631.59 / $1,090.92	Facility		$243.33	$631.59	$1,090.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $108.89 / $277.19	Professional		$5.00	$108.89	$277.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $197.99 / $197.99	Facility		$80.00	$197.99	$197.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $460.43 / $1,000.85	Facility		$178.95	$460.43	$1,000.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $188.01 / $392.00	Professional		$101.84	$188.01	$392.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $428.23 / $940.45 / $940.45	Facility		$428.23	$940.45	$940.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $989.95 / $989.95 / $1,484.93	Professional		$989.95	$989.95	$1,484.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $197.99 / $337.17	Facility		$121.66	$197.99	$337.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $197.99 / $247.49	Professional		$188.09	$197.99	$247.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $237.59 / $445.48	Professional		$128.69	$237.59	$445.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.59 / $243.19 / $855.50	Facility		$138.59	$243.19	$855.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $227.69 / $359.88	Professional		$105.60	$227.69	$359.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.45 / $162.07	Professional		$83.16	$113.45	$162.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $197.99 / $267.29	Professional		$77.22	$197.99	$267.29