Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $891.25	Facility		$120.23	$323.59	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $288.40	Professional		$107.15	$141.25	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $95.50	Professional		$5.01	$5.50	$95.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $173.78	Facility		$79.43	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $354.81 / $891.25	Facility		$173.78	$354.81	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $338.84	Professional		$95.50	$120.23	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,288.25	Professional		$1,230.27	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $380.19	Facility		$131.83	$190.55	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $218.78	Professional		$107.15	$147.91	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $173.78	Professional		$144.54	$144.54	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $371.54	Professional		$169.82	$186.21	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $239.88 / $524.81	Facility		$131.83	$239.88	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $331.13	Professional		$95.50	$151.36	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $173.78	Facility		$61.66	$72.44	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $338.84	Professional		$104.71	$123.03	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $173.78	Professional		$67.61	$144.54	$173.78