Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.78 / $377.68 / $985.99	Facility		$149.78	$377.68	$985.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $141.68 / $242.88	Professional		$113.34	$141.68	$242.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.81 / $617.32 / $1,060.58	Facility		$236.81	$617.32	$1,060.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $111.32 / $198.35	Professional		$5.00	$111.32	$198.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $202.40	Facility		$202.40	$202.40	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $444.67 / $895.45	Facility		$131.56	$444.67	$895.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $161.09 / $344.83	Professional		$96.10	$161.09	$344.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $961.40 / $961.40	Facility		$323.83	$961.40	$961.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,012.00 / $1,518.00	Professional		$1,012.00	$1,012.00	$1,518.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.51 / $202.40 / $303.60	Facility		$127.51	$202.40	$303.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $253.00	Professional		$202.40	$202.40	$253.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $242.88 / $455.40	Professional		$131.56	$242.88	$455.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $237.72 / $752.95	Facility		$137.47	$237.72	$752.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $232.37 / $344.83	Professional		$102.55	$232.37	$344.83
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $85.01 / $129.54	Professional		$80.09	$85.01	$129.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $202.40 / $273.24	Professional		$78.94	$202.40	$273.24