Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $238.75 / $312.43	Facility		$138.66	$238.75	$312.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.06 / $167.79	Professional		$139.21	$140.06	$167.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $239.35 / $477.74	Facility		$94.89	$239.35	$477.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $133.35 / $133.35	Professional		$133.35	$133.35	$133.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $139.97	Facility		$80.00	$80.00	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $139.21 / $139.21	Facility		$131.33	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.19 / $681.05 / $696.05	Facility		$181.19	$681.05	$696.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,513.09 / $2,513.09 / $2,513.09	Professional		$2,513.09	$2,513.09	$2,513.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $138.66 / $189.63	Facility		$69.48	$138.66	$189.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $229.70	Professional		$139.21	$139.21	$229.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $153.13 / $256.89	Professional		$116.90	$153.13	$256.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $139.21 / $194.89	Facility		$70.11	$139.21	$194.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $167.58	Professional		$139.21	$139.21	$167.58
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $154.97	Professional		$139.21	$147.56	$154.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $139.21 / $194.89	Professional		$136.43	$139.21	$194.89