Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.43 / $816.72 / $2,412.71	Facility		$352.43	$816.72	$2,412.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $344.97 / $396.24	Professional		$254.06	$344.97	$396.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $848.43 / $2,349.50	Facility		$59.94	$848.43	$2,349.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $466.17	Professional		$466.17	$466.17	$466.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $372.94 / $372.94	Facility		$372.94	$372.94	$372.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $1,024.17 / $2,077.53	Facility		$310.52	$1,024.17	$2,077.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $567.79 / $680.29	Professional		$223.76	$567.79	$680.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $745.87 / $2,214.31 / $2,214.31	Facility		$745.87	$2,214.31	$2,214.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.85 / $2,330.85 / $3,496.28	Professional		$2,330.85	$2,330.85	$3,496.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.36 / $466.17 / $699.26	Facility		$284.36	$466.17	$699.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.86 / $466.17 / $582.71	Professional		$442.86	$466.17	$582.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $582.71 / $1,631.60	Professional		$303.01	$582.71	$1,631.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $499.97 / $1,678.82	Facility		$316.64	$499.97	$1,678.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $559.40 / $815.80	Professional		$272.70	$559.40	$815.80
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $298.35	Professional		$195.79	$195.79	$298.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.48 / $279.68 / $466.17	Professional		$241.48	$279.68	$466.17