Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $77.48 / $95.75	Facility		$64.45	$77.48	$95.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $87.81 / $110.38	Professional		$73.89	$87.81	$110.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $94.93 / $135.21	Professional		$72.09	$94.93	$135.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $71.88 / $79.00	Facility		$71.88	$71.88	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $139.16 / $349.34	Facility		$96.70	$139.16	$349.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $114.87 / $179.41	Professional		$84.37	$114.87	$179.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $379.97 / $409.55	Facility		$195.88	$379.97	$409.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $533.04 / $682.58	Professional		$533.04	$533.04	$682.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $97.08 / $182.96	Facility		$78.93	$97.08	$182.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $113.67 / $151.01	Professional		$90.93	$113.67	$151.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $82.94 / $146.47	Professional		$71.50	$82.94	$146.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $99.43 / $183.66	Facility		$78.93	$99.43	$183.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $120.96 / $210.84	Professional		$87.95	$120.96	$210.84
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $97.66 / $150.99	Professional		$71.02	$97.66	$150.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $79.79 / $109.94	Professional		$69.29	$79.79	$109.94