Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $134.90	Facility		$104.71	$125.89	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $181.97	Professional		$123.03	$144.54	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $1,288.25	Facility		$245.47	$676.08	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $218.78	Professional		$120.23	$147.91	$218.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $128.82	Facility		$117.49	$117.49	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $363.08	Facility		$158.49	$269.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $302.00	Professional		$138.04	$186.21	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,096.48	Professional		$870.96	$1,096.48	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $309.03	Facility		$123.03	$158.49	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $208.93	Professional		$123.03	$147.91	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $346.74	Professional		$120.23	$229.09	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $169.82 / $309.03	Facility		$123.03	$169.82	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $323.59	Professional		$134.90	$186.21	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $338.84 / $446.68	Facility		$323.59	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $251.19	Professional		$117.49	$158.49	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $144.54	Professional		$104.71	$117.49	$144.54