Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $145.94 / $145.94	Facility		$142.38	$145.94	$145.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $145.94 / $151.27	Professional		$142.38	$145.94	$151.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $16.11 / $43.92	Facility		$12.25	$16.11	$43.92
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 $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $355.94 / $667.39	Facility		$169.07	$355.94	$667.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.29 / $676.29 / $800.87	Professional		$676.29	$676.29	$800.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $177.97 / $309.39	Facility		$142.38	$177.97	$309.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $209.05	Professional		$84.98	$84.98	$209.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $177.97 / $308.80	Facility		$142.38	$177.97	$308.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $161.79	Professional		$161.79	$161.79	$161.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $92.91 / $125.43	Professional		$10.68	$92.91	$125.43