Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $387.13 / $1,018.63	Facility		$154.36	$387.13	$1,018.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.18 / $153.52 / $266.05	Professional		$116.18	$153.52	$266.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.97 / $665.95 / $1,152.54	Facility		$254.97	$665.95	$1,152.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $114.10 / $290.44	Professional		$5.00	$114.10	$290.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $207.46 / $207.46	Facility		$80.00	$207.46	$207.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $482.45 / $1,048.46	Facility		$187.52	$482.45	$1,048.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $197.02 / $410.00	Professional		$106.65	$197.02	$410.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $448.71 / $985.44 / $985.44	Facility		$448.71	$985.44	$985.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.30 / $1,037.30 / $1,555.95	Professional		$1,037.30	$1,037.30	$1,555.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $207.46 / $353.32	Facility		$130.69	$207.46	$353.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.09 / $207.46 / $311.19	Professional		$197.09	$207.46	$311.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $248.95 / $466.79	Professional		$134.85	$248.95	$466.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.52 / $259.33 / $916.41	Facility		$153.52	$259.33	$916.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $242.27 / $387.95	Professional		$117.61	$242.27	$387.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $207.46	Professional		$87.13	$118.87	$207.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $207.46 / $280.07	Professional		$80.91	$207.46	$280.07