Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $162.18	Facility		$147.91	$151.36	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $204.17	Professional		$123.03	$154.88	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $371.54	Facility		$144.54	$234.42	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $229.09	Professional		$131.83	$169.82	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $870.96	Professional		$309.03	$354.81	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $389.05	Facility		$141.25	$234.42	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $158.49	Professional		$81.28	$104.71	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $234.42	Professional		$97.72	$234.42	$234.42