Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $99.82 / $107.80	Facility		$98.49	$99.82	$107.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $105.83 / $133.09	Professional		$88.25	$105.83	$133.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $125.25 / $125.25	Professional		$125.25	$125.25	$125.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.34 / $711.31 / $721.95	Facility		$255.34	$711.31	$721.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $835.71 / $869.14 / $1,139.93	Professional		$835.71	$869.14	$1,139.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $151.99 / $212.79	Facility		$93.54	$151.99	$212.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $144.38 / $151.99	Professional		$129.19	$144.38	$151.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $170.53 / $265.98	Professional		$148.94	$170.53	$265.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $151.99 / $214.36	Facility		$93.54	$151.99	$214.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $126.38	Professional		$62.01	$62.01	$126.38
United Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $71.38 / $104.49	Professional		$53.71	$71.38	$104.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $151.99 / $205.19	Professional		$151.99	$151.99	$205.19