Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.31 / $463.73 / $1,286.20	Facility		$198.31	$463.73	$1,286.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $186.38 / $198.81	Professional		$183.90	$186.38	$198.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Professional		$248.51	$248.51	$248.51
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 $165.54 / $570.36 / $1,106.70	Facility		$165.54	$570.36	$1,106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $302.51 / $362.44	Professional		$131.71	$302.51	$362.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.74 / $1,180.42 / $1,180.42	Facility		$483.74	$1,180.42	$1,180.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.55 / $1,242.55 / $1,863.83	Professional		$1,242.55	$1,242.55	$1,863.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.59 / $248.51 / $372.77	Facility		$151.59	$248.51	$372.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $248.51 / $310.64	Professional		$236.08	$248.51	$310.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $310.64 / $869.78	Professional		$161.53	$310.64	$869.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $260.94 / $894.87	Facility		$168.80	$260.94	$894.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $300.70 / $434.89	Professional		$198.81	$300.70	$434.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $104.37 / $153.08	Professional		$104.37	$104.37	$153.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $96.92 / $248.51	Professional		$66.20	$96.92	$248.51