Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $96.78 / $104.52	Facility		$95.49	$96.78	$104.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $99.59 / $129.04	Professional		$78.55	$99.59	$129.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $121.44 / $121.44	Professional		$121.44	$121.44	$121.44
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 $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.58 / $689.69 / $700.01	Facility		$247.58	$689.69	$700.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.28 / $1,295.07 / $1,346.88	Professional		$1,105.28	$1,295.07	$1,346.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $147.37 / $274.70	Facility		$98.07	$147.37	$274.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $140.00 / $147.37	Professional		$125.26	$140.00	$147.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $165.35 / $257.89	Professional		$144.41	$165.35	$257.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $147.37 / $274.70	Facility		$98.07	$147.37	$274.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $122.53	Professional		$60.12	$60.12	$122.53
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $66.84 / $101.30	Professional		$52.08	$66.84	$101.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $147.37 / $198.95	Professional		$147.37	$147.37	$198.95