Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.26 / $115.48 / $117.70	Facility		$113.26	$115.48	$117.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $117.70 / $183.86	Professional		$106.59	$117.70	$183.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $151.01 / $151.01	Professional		$151.01	$151.01	$151.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $253.61 / $253.61 / $253.61	Facility		$253.61	$253.61	$253.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.50 / $1,329.81 / $1,329.81	Facility		$1,100.50	$1,329.81	$1,329.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.20 / $1,394.20 / $1,574.78	Professional		$1,394.20	$1,394.20	$1,574.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $175.47 / $253.61	Facility		$67.63	$175.47	$253.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $214.47 / $253.61	Professional		$67.63	$214.47	$253.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $278.97 / $570.62	Professional		$253.61	$278.97	$570.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $169.45 / $253.61	Facility		$67.63	$169.45	$253.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $143.85	Professional		$101.95	$101.95	$143.85
United Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $126.24 / $150.28	Professional		$87.30	$126.24	$150.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $126.11 / $253.61	Professional		$125.80	$126.11	$253.61