Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $166.10 / $169.30	Facility		$162.91	$166.10	$169.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $169.30 / $239.57	Professional		$140.55	$169.30	$239.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.21 / $217.21 / $217.21	Professional		$217.21	$217.21	$217.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $268.80 / $364.80	Facility		$268.80	$268.80	$364.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $748.46 / $1,435.50 / $1,732.80	Facility		$748.46	$1,435.50	$1,732.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,366.10 / $2,422.89 / $2,422.89	Professional		$2,366.10	$2,422.89	$2,422.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $243.74 / $364.80	Facility		$88.12	$243.74	$364.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $310.08 / $364.80	Professional		$88.12	$310.08	$364.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.80 / $401.28 / $820.80	Professional		$364.80	$401.28	$820.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $243.74 / $364.80	Facility		$88.12	$243.74	$364.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $269.10	Professional		$124.80	$124.80	$269.10
United Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $164.48 / $195.82	Professional		$113.75	$164.48	$195.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $364.80	Professional		$163.91	$163.91	$364.80