Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.75 / $141.47 / $144.19	Facility		$138.75	$141.47	$144.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $144.19 / $233.74	Professional		$136.01	$144.19	$233.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $211.65 / $211.65	Professional		$211.65	$211.65	$211.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $247.34 / $247.34 / $247.34	Facility		$247.34	$247.34	$247.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $451.98 / $1,140.66 / $1,140.66	Facility		$451.98	$1,140.66	$1,140.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.25 / $1,743.30 / $1,743.30	Professional		$1,737.25	$1,743.30	$1,743.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $222.94 / $262.27	Facility		$84.12	$222.94	$262.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $210.24 / $284.44	Professional		$104.85	$210.24	$284.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.70 / $259.70 / $266.72	Professional		$259.70	$259.70	$266.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $215.21 / $278.10	Facility		$84.12	$215.21	$278.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $233.74 / $292.17	Professional		$155.19	$233.74	$292.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.38 / $239.42 / $247.34	Professional		$225.38	$239.42	$247.34