Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.17 / $401.95 / $5,115.78	Facility		$361.17	$401.95	$5,115.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.09 / $419.59 / $822.45	Professional		$365.09	$419.59	$822.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $630.99 / $1,165.27	Facility		$251.02	$630.99	$1,165.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.05 / $543.00 / $744.72	Professional		$392.05	$543.00	$744.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $522.59 / $526.36 / $552.79	Facility		$522.59	$526.36	$552.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.68 / $920.88 / $2,129.91	Facility		$415.68	$920.88	$2,129.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.35 / $600.77 / $1,017.15	Professional		$435.35	$600.77	$1,017.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.23 / $5,563.56 / $5,563.56	Facility		$1,192.23	$5,563.56	$5,563.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,419.43 / $3,419.43 / $4,662.08	Professional		$3,419.43	$3,419.43	$4,662.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.79 / $575.72 / $1,048.14	Facility		$471.79	$575.72	$1,048.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $899.32 / $1,212.18	Professional		$525.20	$899.32	$1,212.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.11 / $453.68 / $951.26	Professional		$292.11	$453.68	$951.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.31 / $602.75 / $1,181.47	Facility		$463.31	$602.75	$1,181.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.35 / $608.07 / $1,061.20	Professional		$435.35	$608.07	$1,061.20
United Facility/Professional Professional Modifier Low / Median / High Price $440.82 / $594.69 / $898.30	Professional		$440.82	$594.69	$898.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.18 / $525.20 / $740.21	Professional		$465.18	$525.20	$740.21