Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.23 / $634.64 / $1,748.60	Facility		$269.23	$634.64	$1,748.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $249.29 / $302.70	Professional		$194.09	$249.29	$302.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $111.59 / $190.19	Facility		$43.33	$111.59	$190.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $356.13	Professional		$356.13	$356.13	$356.13
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 $231.48 / $835.80 / $1,586.86	Facility		$231.48	$835.80	$1,586.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $433.84 / $519.79	Professional		$433.84	$433.84	$519.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $569.80 / $1,691.62 / $1,691.62	Facility		$569.80	$1,691.62	$1,691.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.53 / $1,773.53 / $2,670.98	Professional		$1,773.53	$1,773.53	$2,670.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $356.13 / $521.45	Facility		$213.68	$356.13	$521.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $445.16	Professional		$356.13	$356.13	$445.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $445.16 / $1,246.45	Professional		$231.48	$445.16	$1,246.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.62 / $824.46 / $1,887.99	Facility		$246.62	$824.46	$1,887.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $430.92 / $623.23	Professional		$336.55	$430.92	$623.23
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $227.92	Professional		$149.57	$149.57	$227.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $241.31 / $356.13	Professional		$190.58	$241.31	$356.13