Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.74 / $116.99 / $119.24	Facility		$114.74	$116.99	$119.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $119.24 / $193.30	Professional		$112.47	$119.24	$193.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $135.30	Professional		$135.30	$135.30	$135.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $204.55 / $204.55	Facility		$204.55	$204.55	$204.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.80 / $943.35 / $943.35	Facility		$373.80	$943.35	$943.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.40 / $1,441.58 / $1,441.58	Professional		$1,436.40	$1,441.58	$1,441.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $184.37 / $216.91	Facility		$69.56	$184.37	$216.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $173.87 / $235.23	Professional		$86.51	$173.87	$235.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.55 / $220.57 / $783.43	Professional		$204.55	$220.57	$783.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $177.99 / $211.82	Facility		$69.56	$177.99	$211.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $193.30 / $241.63	Professional		$128.35	$193.30	$241.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $193.20 / $204.55	Professional		$186.39	$193.20	$204.55