Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.78 / $1,194.00 / $2,577.00	Facility		$509.78	$1,194.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $475.00 / $658.49	Professional		$306.33	$475.00	$658.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.89 / $708.83 / $1,285.02	Facility		$310.89	$708.83	$1,285.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $290.77 / $463.27	Professional		$169.76	$290.77	$463.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $383.86 / $409.37 / $2,361.29	Facility		$383.86	$409.37	$2,361.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.91 / $793.36 / $1,626.05	Facility		$228.91	$793.36	$1,626.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.95 / $507.59 / $929.55	Professional		$342.95	$507.59	$929.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $818.34 / $2,647.01 / $2,647.01	Facility		$818.34	$2,647.01	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.29 / $2,369.29 / $3,270.00	Professional		$2,369.29	$2,369.29	$3,270.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.91 / $437.65 / $869.49	Facility		$340.91	$437.65	$869.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $603.11 / $982.23	Professional		$364.13	$603.11	$982.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $483.61 / $851.34	Professional		$237.12	$483.61	$851.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.75 / $443.18 / $873.70	Facility		$342.75	$443.18	$873.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.47 / $563.96 / $1,159.07	Professional		$356.47	$563.96	$1,159.07
United Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $480.71 / $913.35	Professional		$392.03	$480.71	$913.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $364.13 / $515.70	Professional		$324.11	$364.13	$515.70