Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $99.87 / $120.78	Facility		$82.75	$99.87	$120.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.30 / $109.36 / $142.22	Professional		$93.30	$109.36	$142.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $123.36 / $173.50	Professional		$93.96	$123.36	$173.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $104.66 / $104.66	Facility		$99.68	$104.66	$104.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $110.25 / $110.25	Facility		$110.25	$110.25	$110.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $140.88 / $218.21	Professional		$105.46	$140.88	$218.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.80 / $519.17 / $519.17	Facility		$245.80	$519.17	$519.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $686.29 / $686.29 / $863.25	Professional		$686.29	$686.29	$863.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $120.57 / $187.04	Facility		$98.87	$120.57	$187.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $179.45 / $216.70	Professional		$120.28	$179.45	$216.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $134.41 / $205.52	Professional		$109.48	$134.41	$205.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.98 / $119.68 / $195.06	Facility		$98.98	$119.68	$195.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $151.66 / $267.16	Professional		$108.73	$151.66	$267.16
United Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $122.78 / $198.30	Professional		$92.39	$122.78	$198.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $102.74 / $138.86	Professional		$87.51	$102.74	$138.86