Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $275.42	Facility		$165.96	$223.87	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $309.03	Professional		$169.82	$213.80	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $323.59 / $588.84	Facility		$141.25	$323.59	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $281.84	Professional		$87.10	$158.49	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $213.80	Facility		$194.98	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $354.81	Facility		$52.48	$141.25	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $426.58	Professional		$169.82	$257.04	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $1,737.80	Professional		$1,380.38	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $407.38	Facility		$173.78	$234.42	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $389.05	Professional		$173.78	$223.87	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $165.96	Professional		$32.36	$77.62	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $478.63	Professional		$109.65	$229.09	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $398.11	Facility		$165.96	$229.09	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $457.09	Professional		$173.78	$263.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $269.15	Facility		$194.98	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $338.84	Professional		$151.36	$213.80	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $263.03	Professional		$162.18	$218.78	$263.03