Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $137.19 / $145.33	Facility		$114.86	$137.19	$145.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $147.27 / $208.20	Professional		$114.86	$147.27	$208.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $152.38 / $294.30	Facility		$64.36	$152.38	$294.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $101.73 / $188.70	Professional		$37.78	$101.73	$188.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $130.44 / $130.44	Facility		$120.70	$130.44	$130.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $68.55 / $122.52	Facility		$55.01	$68.55	$122.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $185.71 / $290.08	Professional		$127.57	$185.71	$290.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $265.70 / $693.98 / $693.98	Facility		$265.70	$693.98	$693.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $935.19 / $935.19 / $1,087.50	Professional		$935.19	$935.19	$1,087.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.80 / $150.36 / $242.38	Facility		$117.80	$150.36	$242.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $221.32 / $304.80	Professional		$148.35	$221.32	$304.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $308.30 / $393.20	Professional		$283.70	$308.30	$393.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $149.81 / $244.14	Facility		$117.75	$149.81	$244.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $198.65 / $352.68	Professional		$135.46	$198.65	$352.68
United Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $159.91 / $253.52	Professional		$118.87	$159.91	$253.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $126.51 / $171.92	Professional		$107.94	$126.51	$171.92