Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $102.95 / $226.00	Professional		$86.25	$102.95	$226.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $66.39 / $78.09	Professional		$44.36	$66.39	$78.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $132.66 / $139.26	Facility		$126.58	$132.66	$139.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $102.62 / $302.52	Professional		$65.48	$102.62	$302.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $939.44 / $939.44	Facility		$498.00	$939.44	$939.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.78 / $2,260.63 / $2,260.63	Professional		$2,194.78	$2,260.63	$2,260.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $213.60 / $512.22	Facility		$126.92	$213.60	$512.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $206.70 / $314.47	Professional		$161.63	$206.70	$314.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $102.78 / $247.79	Professional		$55.17	$102.78	$247.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $220.77 / $512.22	Facility		$122.74	$220.77	$512.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $144.91 / $351.79	Professional		$67.98	$144.91	$351.79
United Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $118.05 / $338.87	Professional		$84.02	$118.05	$338.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $77.59 / $138.21	Professional		$54.61	$77.59	$138.21