Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $379.73 / $991.37	Facility		$150.59	$379.73	$991.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $146.52 / $244.20	Professional		$113.96	$146.52	$244.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.09 / $626.78 / $1,066.33	Facility		$238.09	$626.78	$1,066.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $111.93 / $203.50	Professional		$5.00	$111.93	$203.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $203.50	Facility		$203.50	$203.50	$203.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.85 / $465.57 / $907.42	Facility		$146.85	$465.57	$907.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $172.63 / $346.60	Professional		$103.12	$172.63	$346.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $396.13 / $966.63 / $966.63	Facility		$396.13	$966.63	$966.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.50 / $1,017.50 / $1,526.25	Professional		$1,017.50	$1,017.50	$1,526.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.21 / $203.50 / $312.13	Facility		$128.21	$203.50	$312.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $203.50 / $254.38	Professional		$193.33	$203.50	$254.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $244.20 / $457.88	Professional		$132.28	$244.20	$457.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $244.20 / $821.04	Facility		$146.69	$244.20	$821.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $234.03 / $346.60	Professional		$103.81	$234.03	$346.60
United Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $203.50 / $254.38	Facility		$122.58	$203.50	$254.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $93.10 / $132.80	Professional		$85.47	$93.10	$132.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $203.50 / $274.73	Professional		$79.37	$203.50	$274.73