Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $373.70 / $1,039.13	Facility		$157.84	$373.70	$1,039.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $149.31 / $255.96	Professional		$119.45	$149.31	$255.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.03 / $622.84 / $1,117.69	Facility		$241.03	$622.84	$1,117.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $117.32 / $209.03	Professional		$5.00	$117.32	$209.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $213.30 / $213.30	Facility		$213.30	$213.30	$213.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $465.86 / $943.44	Facility		$104.68	$465.86	$943.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $169.70 / $335.62	Professional		$97.08	$169.70	$335.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $341.28 / $1,013.18 / $1,013.18	Facility		$341.28	$1,013.18	$1,013.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,066.50 / $1,066.50 / $1,599.75	Professional		$1,066.50	$1,066.50	$1,599.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $213.30 / $319.95	Facility		$130.11	$213.30	$319.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $213.30 / $266.63	Professional		$206.07	$213.30	$266.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $255.96 / $479.93	Professional		$138.65	$255.96	$479.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $229.04 / $696.61	Facility		$127.98	$229.04	$696.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $245.30 / $335.62	Professional		$100.12	$245.30	$335.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $89.59 / $136.51	Professional		$63.72	$89.59	$136.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $213.30 / $287.95	Professional		$83.19	$213.30	$287.95