Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $324.06 / $852.67	Facility		$129.19	$324.06	$852.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $128.72 / $254.86	Professional		$97.25	$128.72	$254.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.43 / $553.98 / $974.23	Facility		$213.43	$553.98	$974.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $95.51 / $243.12	Professional		$5.00	$95.51	$243.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $173.66 / $173.66	Facility		$80.00	$173.66	$173.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $384.70 / $919.75	Facility		$190.49	$384.70	$919.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $123.59 / $366.55	Professional		$94.24	$123.59	$366.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.47 / $824.89 / $824.89	Facility		$425.47	$824.89	$824.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.45 / $1,367.63 / $1,367.63	Professional		$1,302.45	$1,367.63	$1,367.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $247.33 / $414.50	Facility		$142.54	$247.33	$414.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $173.66 / $230.70	Professional		$173.66	$173.66	$230.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $208.39 / $390.74	Professional		$112.88	$208.39	$390.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $267.75 / $634.39	Facility		$142.54	$267.75	$634.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $165.95 / $341.37	Professional		$96.24	$165.95	$341.37
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $138.74 / $344.37	Professional		$104.20	$138.74	$344.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $94.23 / $173.66	Professional		$89.96	$94.23	$173.66