Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.15 / $323.13 / $850.27	Facility		$128.15	$323.13	$850.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $128.15 / $268.07	Professional		$103.90	$128.15	$268.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.39 / $561.07 / $1,035.56	Facility		$223.39	$561.07	$1,035.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $213.00 / $242.44	Professional		$5.00	$213.00	$242.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.17 / $173.17	Facility		$80.00	$173.17	$173.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $397.53 / $917.97	Facility		$198.36	$397.53	$917.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $128.63 / $381.82	Professional		$98.10	$128.63	$381.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $826.74 / $826.74	Facility		$412.95	$826.74	$826.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.46 / $1,423.97 / $1,423.97	Professional		$1,338.46	$1,423.97	$1,423.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $257.67 / $431.59	Facility		$142.13	$257.67	$431.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $173.17 / $240.20	Professional		$173.17	$173.17	$240.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $207.80 / $389.63	Professional		$112.56	$207.80	$389.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $278.64 / $632.59	Facility		$142.13	$278.64	$632.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $171.77 / $355.58	Professional		$100.29	$171.77	$355.58
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $144.46 / $343.40	Professional		$103.90	$144.46	$343.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $98.11 / $173.17	Professional		$89.70	$98.11	$173.17