Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $130.87 / $141.78	Facility		$125.42	$130.87	$141.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $101.51 / $146.52	Professional		$91.46	$101.51	$146.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $229.22 / $246.59	Facility		$229.22	$229.22	$246.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $109.86 / $124.80	Professional		$90.82	$109.86	$124.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $107.97	Facility		$100.40	$100.40	$107.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $143.07 / $240.75	Professional		$103.83	$143.07	$240.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.38 / $519.25 / $560.79	Facility		$253.38	$519.25	$560.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,082.00 / $1,082.00	Professional		$1,082.00	$1,082.00	$1,082.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $127.35 / $225.73	Facility		$93.76	$127.35	$225.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $158.44 / $206.37	Professional		$127.59	$158.44	$206.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $227.70 / $291.80	Professional		$179.80	$227.70	$291.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $127.89 / $256.98	Facility		$93.76	$127.89	$256.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $154.37 / $282.56	Professional		$110.62	$154.37	$282.56
United Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $127.52 / $194.04	Professional		$96.46	$127.52	$194.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $111.24 / $152.68	Professional		$94.69	$111.24	$152.68