Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $115.16 / $117.37	Facility		$112.94	$115.16	$117.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $117.37 / $199.84	Professional		$110.08	$117.37	$199.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $150.59 / $150.59	Professional		$120.37	$150.59	$150.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $252.92 / $252.92 / $252.92	Facility		$252.92	$252.92	$252.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $105.73	Professional		$105.73	$105.73	$105.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.72 / $1,468.08 / $1,468.08	Facility		$1,226.72	$1,468.08	$1,468.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.54 / $1,483.54 / $2,080.88	Professional		$1,483.54	$1,483.54	$2,080.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $174.97 / $252.92	Facility		$74.66	$174.97	$252.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $227.63 / $296.13	Professional		$74.66	$227.63	$296.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $257.98 / $569.07	Professional		$99.30	$257.98	$569.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $168.96 / $252.92	Facility		$74.66	$168.96	$252.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $246.23	Professional		$105.73	$105.73	$246.23
United Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $139.36 / $165.90	Professional		$96.37	$139.36	$165.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $139.22 / $252.92	Professional		$138.87	$139.22	$252.92