Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $309.03 / $870.96	Facility		$120.23	$309.03	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $331.13	Professional		$114.82	$154.88	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 $128.82 / $281.84 / $1,698.24	Facility		$128.82	$281.84	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $2,884.03	Professional		$1,905.46	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $269.15 / $575.44	Facility		$141.25	$269.15	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $389.05	Professional		$114.82	$151.36	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $812.83	Professional		$380.19	$416.87	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $316.23 / $1,071.52	Facility		$141.25	$316.23	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $380.19	Professional		$79.43	$208.93	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $380.19	Facility		$138.04	$162.18	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Professional		$81.28	$81.28	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $380.19 / $380.19	Professional		$74.13	$380.19	$380.19