Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.68 / $88.38 / $90.08	Facility		$86.68	$88.38	$90.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $90.08 / $146.16	Professional		$82.01	$90.08	$146.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $92.38 / $115.58	Professional		$92.38	$92.38	$115.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.11 / $194.11 / $194.11	Facility		$194.11	$194.11	$194.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $107.78	Professional		$78.68	$78.68	$107.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $324.37 / $899.12 / $899.12	Facility		$324.37	$899.12	$899.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $972.15 / $972.15 / $1,413.38	Professional		$972.15	$972.15	$1,413.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $129.69 / $194.11	Facility		$55.55	$129.69	$194.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $174.70 / $194.11	Professional		$55.55	$174.70	$194.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $197.99 / $436.75	Professional		$148.49	$197.99	$436.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $116.70 / $194.11	Facility		$55.55	$116.70	$194.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $114.90	Professional		$78.68	$78.68	$114.90
United Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $85.28 / $100.39	Facility		$66.12	$85.28	$100.39
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $103.70 / $123.45	Professional		$71.70	$103.70	$123.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $103.34 / $194.11	Professional		$101.01	$103.34	$194.11