Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $127.58 / $293.14	Facility		$122.77	$127.58	$293.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $127.58 / $191.37	Professional		$120.36	$127.58	$191.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $163.69 / $163.69	Professional		$130.83	$163.69	$163.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $274.89 / $274.89 / $274.89	Facility		$274.89	$274.89	$274.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,353.88 / $1,445.66 / $1,445.66	Facility		$1,353.88	$1,445.66	$1,445.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.77 / $1,463.77 / $1,956.30	Professional		$1,463.77	$1,463.77	$1,956.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $191.59 / $274.89	Facility		$84.01	$191.59	$274.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $247.41 / $274.89	Professional		$84.01	$247.41	$274.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.13 / $322.45 / $450.06	Professional		$316.13	$322.45	$450.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $190.78 / $274.89	Facility		$84.01	$190.78	$274.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $203.38	Professional		$139.27	$139.27	$203.38
United Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $154.79 / $186.68	Professional		$107.70	$154.79	$186.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $157.80 / $274.89	Professional		$156.27	$157.80	$274.89