Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $307.30 / $861.21	Facility		$115.76	$307.30	$861.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $122.78 / $210.48	Professional		$98.22	$122.78	$210.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.89 / $2,415.31 / $4,010.32	Facility		$827.89	$2,415.31	$4,010.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $411.66 / $782.10	Facility		$114.01	$411.66	$782.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $101.41 / $276.23	Professional		$80.58	$101.41	$276.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $833.15 / $833.15	Facility		$280.64	$833.15	$833.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $873.49 / $873.49 / $1,315.50	Professional		$873.49	$873.49	$1,315.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $175.40 / $263.10	Facility		$98.22	$175.40	$263.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $219.25	Professional		$175.40	$175.40	$219.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $210.48 / $394.65	Professional		$114.01	$210.48	$394.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $180.59 / $631.90	Facility		$105.24	$180.59	$631.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $165.68 / $275.18	Professional		$83.05	$165.68	$275.18
United Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $175.40 / $210.48	Facility		$73.67	$175.40	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $112.26	Professional		$73.67	$73.67	$112.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $175.40 / $236.79	Professional		$68.41	$175.40	$236.79