Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $147.74 / $271.29	Facility		$76.56	$147.74	$271.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.80 / $147.74 / $221.61	Professional		$133.80	$147.74	$221.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $151.50 / $189.55	Professional		$151.50	$151.50	$189.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $318.14 / $318.14 / $318.33	Facility		$318.14	$318.14	$318.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $180.09	Professional		$129.03	$129.03	$180.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $531.96 / $1,474.48 / $1,474.48	Facility		$531.96	$1,474.48	$1,474.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.10 / $1,594.10 / $2,317.73	Professional		$1,594.10	$1,594.10	$2,317.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $238.98 / $318.33	Facility		$91.10	$238.98	$318.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $286.51 / $318.33	Professional		$91.10	$286.51	$318.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $324.70 / $730.60	Professional		$107.70	$324.70	$730.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $191.38 / $318.33	Facility		$91.10	$191.38	$318.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $188.42	Professional		$129.03	$129.03	$188.42
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $170.05 / $202.44	Professional		$117.60	$170.05	$202.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $171.10 / $318.33	Professional		$169.46	$171.10	$318.33