Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $234.42	Professional		$87.10	$112.20	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $77.62	Professional		$43.65	$77.62	$77.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $138.04	Facility		$131.83	$134.90	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $316.23	Professional		$67.61	$102.33	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $512.86	Facility		$114.82	$208.93	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $263.03	Professional		$85.11	$165.96	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $288.40	Professional		$64.57	$138.04	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $208.93 / $512.86	Facility		$107.15	$208.93	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $323.59	Professional		$66.07	$102.33	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $114.82	Facility		$46.77	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $338.84	Professional		$83.18	$134.90	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $141.25	Professional		$54.95	$54.95	$141.25