Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $106.95 / $232.20	Professional		$78.81	$106.95	$232.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $140.72 / $229.39	Facility		$125.25	$140.72	$229.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $77.40 / $197.02	Professional		$5.00	$77.40	$197.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $140.72 / $140.72	Facility		$80.00	$140.72	$140.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $111.93 / $310.36	Professional		$79.70	$111.93	$310.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $462.33 / $672.24 / $672.24	Facility		$462.33	$672.24	$672.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.48 / $1,157.24 / $1,157.24	Professional		$1,055.48	$1,157.24	$1,157.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.51 / $182.95 / $321.68	Facility		$98.51	$182.95	$321.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $140.72 / $175.91	Professional		$140.72	$140.72	$175.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $168.88 / $316.64	Professional		$91.47	$168.88	$316.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $182.95 / $339.30	Facility		$84.44	$182.95	$339.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $161.84 / $289.05	Professional		$79.70	$161.84	$289.05
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $117.40 / $309.61	Professional		$84.44	$117.40	$309.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $79.73 / $140.72	Professional		$54.88	$79.73	$140.72