Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $154.88 / $489.78	Facility		$64.57	$154.88	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $117.49	Professional		$64.57	$81.28	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
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 Facility Modifier Low / Median / High Price $69.18 / $81.28 / $478.63	Facility		$69.18	$81.28	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $154.88	Professional		$51.29	$131.83	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $794.33	Professional		$537.03	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $199.53	Facility		$81.28	$109.65	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $134.90	Professional		$64.57	$85.11	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $229.09	Professional		$104.71	$114.82	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $316.23	Facility		$77.62	$107.15	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $186.21	Professional		$56.23	$112.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $44.67 / $107.15	Facility		$38.90	$44.67	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $74.13	Professional		$44.67	$44.67	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $107.15 / $107.15	Professional		$41.69	$107.15	$107.15