Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.31 / $126.81 / $155.65	Facility		$105.31	$126.81	$155.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $140.46 / $176.28	Professional		$118.74	$140.46	$176.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.10 / $675.78 / $1,318.65	Facility		$253.10	$675.78	$1,318.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $146.47 / $219.25	Professional		$119.13	$146.47	$219.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $116.31 / $116.31 / $128.41	Facility		$116.31	$116.31	$128.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $268.01 / $359.38	Facility		$157.41	$268.01	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $183.96 / $283.52	Professional		$136.94	$183.96	$283.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $617.62 / $666.43	Facility		$318.85	$617.62	$666.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $871.74 / $871.74 / $1,108.05	Professional		$871.74	$871.74	$1,108.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.81 / $156.41 / $282.48	Facility		$126.81	$156.41	$282.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $184.76 / $245.46	Professional		$147.81	$184.76	$245.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $134.63 / $238.02	Professional		$116.56	$134.63	$238.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $159.25 / $298.91	Facility		$127.10	$159.25	$298.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $193.02 / $341.88	Professional		$142.81	$193.02	$341.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $156.13 / $243.06	Professional		$115.78	$156.13	$243.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $129.71 / $178.78	Professional		$112.63	$129.71	$178.78