Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $154.66 / $195.40	Facility		$126.60	$154.66	$195.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $204.00 / $315.62	Professional		$154.66	$204.00	$315.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $147.76 / $290.72	Facility		$64.67	$147.76	$290.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $171.65 / $258.27	Professional		$122.06	$171.65	$258.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $185.22 / $185.22	Facility		$177.01	$185.22	$185.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $18,719.00 / $20,473.00	Facility		$58.19	$18,719.00	$20,473.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $291.80 / $526.75	Professional		$195.43	$291.80	$526.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,377.76 / $1,740.08 / $1,799.36	Facility		$1,377.76	$1,740.08	$1,799.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.85 / $1,286.33 / $1,537.28	Professional		$1,248.85	$1,286.33	$1,537.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.55 / $212.04 / $369.92	Facility		$160.55	$212.04	$369.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.54 / $256.31 / $357.01	Professional		$210.54	$256.31	$357.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $160.75 / $325.31	Professional		$51.12	$160.75	$325.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $214.07 / $437.32	Facility		$159.21	$214.07	$437.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $298.88 / $513.94	Professional		$198.33	$298.88	$513.94
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,050.00 / $4,582.00	Facility		$161.00	$1,050.00	$4,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $253.93 / $437.75	Professional		$162.54	$253.93	$437.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $178.39 / $248.91	Professional		$156.25	$178.39	$248.91