Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $198.44 / $2,750.89	Facility		$193.60	$198.44	$2,750.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $198.44 / $205.70	Professional		$193.60	$198.44	$205.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $10.89 / $31.16	Facility		$7.58	$10.89	$31.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $7.58	Professional		$7.58	$7.58	$7.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $229.90 / $484.00 / $907.50	Facility		$229.90	$484.00	$907.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $919.60 / $961.40 / $1,089.00	Professional		$919.60	$961.40	$1,089.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $242.00 / $420.69	Facility		$193.60	$242.00	$420.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $76.11 / $190.69	Professional		$76.11	$76.11	$190.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $245.46 / $504.72	Professional		$148.10	$245.46	$504.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $242.00 / $419.89	Facility		$193.60	$242.00	$419.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $84.75 / $114.41	Professional		$38.49	$84.75	$114.41