Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $111.41 / $155.15	Facility		$83.19	$111.41	$155.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $83.11 / $115.68	Professional		$67.55	$83.11	$115.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $84.73 / $101.60	Professional		$67.47	$84.73	$101.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $117.22 / $192.70	Professional		$80.25	$117.22	$192.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $414.44 / $414.44	Facility		$383.01	$414.44	$414.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $721.97 / $743.63	Professional		$534.72	$721.97	$743.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $106.77 / $190.56	Facility		$72.93	$106.77	$190.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $130.94 / $184.70	Professional		$102.30	$130.94	$184.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $199.10 / $256.70	Professional		$149.30	$199.10	$256.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $106.77 / $193.40	Facility		$72.93	$106.77	$193.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $123.20 / $229.37	Professional		$84.14	$123.20	$229.37
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $111.34 / $173.17	Professional		$84.14	$111.34	$173.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $99.46 / $135.63	Professional		$84.75	$99.46	$135.63