Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $86.92 / $88.59	Facility		$85.25	$86.92	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $88.59 / $143.76	Professional		$81.91	$88.59	$143.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $113.67 / $113.67	Professional		$113.67	$113.67	$113.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $190.90 / $190.90	Facility		$190.90	$190.90	$190.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $87.08	Professional		$87.08	$87.08	$87.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $980.51 / $986.48 / $986.48	Facility		$980.51	$986.48	$986.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.57 / $1,145.39 / $1,431.75	Professional		$1,118.57	$1,145.39	$1,431.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $133.04 / $190.90	Facility		$61.48	$133.04	$190.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $173.93 / $206.19	Professional		$61.48	$173.93	$206.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.53 / $223.93 / $312.52	Professional		$219.53	$223.93	$312.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $127.56 / $190.90	Facility		$61.48	$127.56	$190.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $171.45	Professional		$87.08	$87.08	$171.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $114.77 / $136.63	Professional		$79.37	$114.77	$136.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $116.28 / $190.90	Professional		$114.38	$116.28	$190.90