Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.82 / $322.32 / $841.44	Facility		$127.82	$322.32	$841.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $120.91 / $207.28	Professional		$96.73	$120.91	$207.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $549.28 / $913.06	Facility		$207.28	$549.28	$913.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $95.00 / $241.82	Professional		$5.00	$95.00	$241.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $172.73 / $172.73	Facility		$80.00	$172.73	$172.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $395.08 / $770.00	Facility		$134.97	$395.08	$770.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $158.68 / $295.00	Professional		$88.16	$158.68	$295.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.24 / $820.47 / $820.47	Facility		$336.24	$820.47	$820.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $863.65 / $1,295.48	Professional		$863.65	$863.65	$1,295.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $172.73 / $276.37	Facility		$105.37	$172.73	$276.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $215.91	Professional		$172.73	$172.73	$215.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $207.28 / $388.64	Professional		$112.27	$207.28	$388.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.91 / $207.28 / $746.30	Facility		$120.91	$207.28	$746.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $198.64 / $295.00	Professional		$88.16	$198.64	$295.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $85.56 / $110.61	Professional		$72.55	$85.56	$110.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $172.73 / $233.19	Professional		$67.36	$172.73	$233.19