Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.12 / $490.06 / $5,953.86	Facility		$441.12	$490.06	$5,953.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.73 / $498.07 / $947.80	Professional		$434.73	$498.07	$947.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $132.41 / $631.41	Professional		$68.09	$132.41	$631.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $580.26 / $591.15 / $700.21	Facility		$580.26	$591.15	$700.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.59 / $1,550.20 / $2,362.92	Facility		$555.59	$1,550.20	$2,362.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.29 / $650.27 / $1,105.16	Professional		$387.29	$650.27	$1,105.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,602.32 / $5,761.44 / $5,991.20	Facility		$4,602.32	$5,761.44	$5,991.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,187.89 / $4,187.89 / $5,361.23	Professional		$4,187.89	$4,187.89	$5,361.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.74 / $580.97 / $1,120.82	Facility		$240.74	$580.97	$1,120.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $1,009.80 / $1,479.43	Professional		$580.97	$1,009.80	$1,479.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $702.45 / $1,167.34	Professional		$99.08	$702.45	$1,167.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.48 / $630.79 / $1,656.45	Facility		$257.48	$630.79	$1,656.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $681.60 / $1,161.94	Professional		$388.18	$681.60	$1,161.94
United Facility/Professional Facility Modifier Low / Median / High Price $434.54 / $445.06 / $468.84	Facility		$434.54	$445.06	$468.84
United Facility/Professional Professional Modifier Low / Median / High Price $411.01 / $562.24 / $937.07	Professional		$411.01	$562.24	$937.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.32 / $580.97 / $829.98	Professional		$522.32	$580.97	$829.98