Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $116.53 / $118.77	Facility		$114.29	$116.53	$118.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $118.77 / $192.73	Professional		$112.05	$118.77	$192.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $152.38 / $152.38	Professional		$152.38	$152.38	$152.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $255.93 / $255.93 / $255.93	Facility		$255.93	$255.93	$255.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $116.74	Professional		$116.74	$116.74	$116.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $687.54 / $1,399.37 / $1,620.89	Facility		$687.54	$1,399.37	$1,620.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.14 / $1,911.96 / $1,919.48	Professional		$1,867.14	$1,911.96	$1,919.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $178.36 / $255.93	Facility		$82.43	$178.36	$255.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $233.23 / $280.20	Professional		$82.43	$233.23	$280.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $255.93 / $281.52 / $575.84	Professional		$255.93	$281.52	$575.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $171.01 / $255.93	Facility		$82.43	$171.01	$255.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $232.98	Professional		$116.74	$116.74	$232.98
United Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $153.87 / $183.18	Professional		$106.40	$153.87	$183.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $155.87 / $255.93	Professional		$153.33	$155.87	$255.93