Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $110.64 / $237.51	Professional		$82.61	$110.64	$237.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.29 / $147.52 / $240.46	Facility		$131.29	$147.52	$240.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $118.02 / $206.53	Professional		$5.00	$118.02	$206.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $147.52 / $147.52	Facility		$80.00	$147.52	$147.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $117.49 / $325.08	Professional		$83.56	$117.49	$325.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $827.37 / $1,039.28 / $1,039.28	Facility		$827.37	$1,039.28	$1,039.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.40 / $1,213.06 / $1,213.06	Professional		$1,106.40	$1,213.06	$1,213.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $191.78 / $337.20	Facility		$109.16	$191.78	$337.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $147.52 / $184.40	Professional		$147.52	$147.52	$184.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $177.02 / $331.92	Professional		$95.89	$177.02	$331.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $191.78 / $355.68	Facility		$103.26	$191.78	$355.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $169.65 / $303.02	Professional		$93.73	$169.65	$303.02
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $123.06 / $324.54	Professional		$88.51	$123.06	$324.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $83.58 / $147.52	Professional		$57.53	$83.58	$147.52