Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $173.97 / $199.96	Professional		$121.53	$173.97	$199.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $212.75 / $212.75	Professional		$212.75	$212.75	$212.75
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 Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $382.70 / $443.07 / $1,089.18	Facility		$382.70	$443.07	$1,089.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.61 / $1,224.61 / $1,913.48	Professional		$1,224.61	$1,224.61	$1,913.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $187.52 / $228.36	Facility		$145.47	$187.52	$228.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $181.77 / $194.11	Professional		$172.21	$181.77	$194.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $232.93 / $274.02	Professional		$228.36	$232.93	$274.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.75 / $188.79 / $228.36	Facility		$149.75	$188.79	$228.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $182.13	Professional		$91.84	$91.84	$182.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $117.68 / $136.94	Professional		$79.55	$117.68	$136.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $228.36 / $308.29	Professional		$228.36	$228.36	$308.29