Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.43 / $830.71 / $2,288.89	Facility		$352.43	$830.71	$2,288.89
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 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 $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $1,060.54 / $2,077.53	Facility		$306.80	$1,060.54	$2,077.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.79 / $567.79 / $680.29	Professional		$567.79	$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 $2,321.53 / $2,321.53 / $3,496.28	Professional		$2,321.53	$2,321.53	$3,496.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $466.17 / $687.95	Facility		$279.70	$466.17	$687.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $582.71	Professional		$466.17	$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 $303.01 / $466.64 / $1,408.13	Facility		$303.01	$466.64	$1,408.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $559.40 / $815.80	Professional		$419.55	$559.40	$815.80
United Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $466.17 / $559.40	Facility		$195.79	$466.17	$559.40
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $332.85	Professional		$195.79	$195.79	$332.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.56 / $423.14 / $466.17	Professional		$412.56	$423.14	$466.17