Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $891.25	Facility		$128.82	$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 Facility Modifier Low / Median / High Price $229.09 / $588.84 / $1,047.13	Facility		$229.09	$588.84	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $97.72 / $234.42	Professional		$5.01	$97.72	$234.42
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 $194.98 / $371.54 / $870.96	Facility		$194.98	$371.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $389.05	Professional		$97.72	$134.90	$389.05
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 $1,348.96 / $1,348.96 / $1,412.54	Professional		$1,348.96	$1,348.96	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $524.81	Facility		$131.83	$208.93	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $218.78	Professional		$107.15	$151.36	$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 $134.90 / $275.42 / $630.96	Facility		$134.90	$275.42	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $363.08	Professional		$97.72	$162.18	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $190.55	Facility		$61.66	$72.44	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $346.74	Professional		$104.71	$144.54	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $173.78	Professional		$67.61	$144.54	$173.78