Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $244.62 / $801.00	Facility		$81.54	$244.62	$801.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $494.41 / $948.95	Professional		$119.90	$494.41	$948.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $550.25 / $1,188.99	Professional		$115.32	$550.25	$1,188.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.27 / $114.27 / $769.52	Facility		$114.27	$114.27	$769.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $216.13 / $1,394.06	Facility		$128.44	$216.13	$1,394.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $467.44 / $1,356.86	Professional		$136.24	$467.44	$1,356.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,195.56 / $1,195.56 / $1,195.56	Facility		$1,195.56	$1,195.56	$1,195.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.38 / $5,036.20 / $6,024.98	Professional		$2,681.38	$5,036.20	$6,024.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $407.99 / $1,050.13	Facility		$129.80	$407.99	$1,050.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $762.15 / $1,236.76	Professional		$167.03	$762.15	$1,236.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $619.87 / $1,261.64	Professional		$127.52	$619.87	$1,261.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $423.58 / $1,069.18	Facility		$129.99	$423.58	$1,069.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $558.13 / $1,625.09	Professional		$140.65	$558.13	$1,625.09
United Facility/Professional Professional Modifier Low / Median / High Price $500.50 / $854.13 / $1,299.99	Professional		$500.50	$854.13	$1,299.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $591.34 / $691.90 / $941.44	Professional		$591.34	$691.90	$941.44