Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $116.67 / $118.92	Facility		$114.43	$116.67	$118.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $118.92 / $168.27	Professional		$96.94	$118.92	$168.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $152.57 / $152.57	Professional		$152.57	$152.57	$152.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $256.23 / $256.23 / $256.23	Facility		$256.23	$256.23	$256.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.92 / $1,091.22 / $1,091.22	Facility		$1,000.92	$1,091.22	$1,091.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.03 / $1,276.03 / $1,780.13	Professional		$1,276.03	$1,276.03	$1,780.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $171.21 / $256.23	Facility		$61.89	$171.21	$256.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $216.69 / $256.23	Professional		$61.89	$216.69	$256.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $256.23 / $281.85 / $576.52	Professional		$256.23	$281.85	$576.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.89 / $171.21 / $256.23	Facility		$61.89	$171.21	$256.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $173.96	Professional		$90.75	$90.75	$173.96
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $115.54 / $137.54	Professional		$79.90	$115.54	$137.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $117.05 / $256.23	Professional		$115.14	$117.05	$256.23