Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.96 / $107.02 / $109.07	Facility		$104.96	$107.02	$109.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $109.07 / $153.57	Professional		$89.42	$109.07	$153.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.85 / $139.94	Professional		$111.85	$111.85	$139.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.18 / $173.18 / $235.03	Facility		$173.18	$173.18	$235.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $110.15	Professional		$80.41	$80.41	$110.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $923.64 / $1,023.20 / $1,023.20	Facility		$923.64	$1,023.20	$1,023.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.40 / $1,163.40 / $1,322.03	Professional		$1,163.40	$1,163.40	$1,322.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $157.03 / $235.03	Facility		$56.77	$157.03	$235.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $198.75 / $235.03	Professional		$56.77	$198.75	$235.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $235.03 / $258.52 / $528.82	Professional		$235.03	$258.52	$528.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $157.03 / $235.03	Facility		$56.77	$157.03	$235.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $117.42	Professional		$80.41	$80.41	$117.42
United Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $108.41 / $126.16	Professional		$73.28	$108.41	$126.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $107.19 / $235.03	Professional		$105.60	$107.19	$235.03