Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $107.12 / $109.18	Facility		$105.06	$107.12	$109.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $109.18 / $162.47	Professional		$95.35	$109.18	$162.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $140.08 / $140.08	Professional		$111.96	$140.08	$140.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $235.26 / $235.26 / $235.26	Facility		$235.26	$235.26	$235.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $928.37 / $945.96 / $945.96	Facility		$928.37	$945.96	$945.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.54 / $1,164.54 / $1,415.85	Professional		$1,164.54	$1,164.54	$1,415.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $157.19 / $235.26	Facility		$56.83	$157.19	$235.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $198.95 / $235.26	Professional		$56.83	$198.95	$235.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.26 / $251.97 / $539.92	Professional		$235.26	$251.97	$539.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $157.19 / $235.26	Facility		$56.83	$157.19	$235.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $129.86	Professional		$88.93	$88.93	$129.86
United Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $106.08 / $126.28	Professional		$73.36	$106.08	$126.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $105.98 / $235.26	Professional		$105.71	$105.98	$235.26