Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $338.57 / $948.86	Facility		$127.55	$338.57	$948.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $135.28 / $231.90	Professional		$108.22	$135.28	$231.90
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 $125.61 / $453.54 / $860.62	Facility		$125.61	$453.54	$860.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $111.69 / $304.01	Professional		$88.75	$111.69	$304.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.20 / $917.94 / $917.94	Facility		$309.20	$917.94	$917.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $962.39 / $962.39 / $1,449.38	Professional		$962.39	$962.39	$1,449.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $193.25 / $289.88	Facility		$117.88	$193.25	$289.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $241.56	Professional		$193.25	$193.25	$241.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $231.90 / $434.81	Professional		$125.61	$231.90	$434.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $198.97 / $695.46	Facility		$129.40	$198.97	$695.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $182.49 / $303.08	Professional		$91.47	$182.49	$303.08
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $193.25	Professional		$81.17	$81.17	$193.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $193.25 / $260.89	Professional		$75.37	$193.25	$260.89