Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $126.39 / $165.58	Facility		$94.33	$126.39	$165.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.24 / $147.27 / $193.08	Professional		$111.24	$147.27	$193.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $154.99 / $213.73	Professional		$113.87	$154.99	$213.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $114.37 / $167.44	Facility		$113.93	$114.37	$167.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $174.94 / $298.95	Professional		$121.58	$174.94	$298.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $547.98 / $586.15 / $586.15	Facility		$547.98	$586.15	$586.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $777.19 / $1,041.92 / $1,308.83	Professional		$777.19	$1,041.92	$1,308.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $150.69 / $209.70	Facility		$112.73	$150.69	$209.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $202.27 / $306.27	Professional		$134.65	$202.27	$306.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $187.21 / $298.00	Professional		$129.41	$187.21	$298.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $149.81 / $207.55	Facility		$111.31	$149.81	$207.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $137.38 / $291.27	Professional		$69.00	$137.38	$291.27
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $173.23 / $274.58	Professional		$129.47	$173.23	$274.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $156.00 / $212.84	Professional		$132.79	$156.00	$212.84