Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $182.91 / $1,980.99	Facility		$142.44	$182.91	$1,980.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $180.74 / $330.10	Professional		$142.44	$180.74	$330.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.82 / $563.00 / $921.09	Facility		$220.82	$563.00	$921.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $71.06 / $237.99	Professional		$42.61	$71.06	$237.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.52 / $195.95 / $220.30	Facility		$192.52	$195.95	$220.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $863.11 / $1,571.27	Facility		$370.53	$863.11	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.82 / $231.53 / $410.88	Professional		$160.82	$231.53	$410.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $408.98 / $1,229.45 / $1,229.45	Facility		$408.98	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.02 / $1,406.02 / $1,765.50	Professional		$1,406.02	$1,406.02	$1,765.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $224.71 / $404.30	Facility		$169.54	$224.71	$404.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $334.64 / $495.68	Professional		$192.82	$334.64	$495.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $201.10 / $254.66	Professional		$34.07	$201.10	$254.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.28 / $265.00 / $964.45	Facility		$174.28	$265.00	$964.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $239.20 / $418.66	Professional		$172.91	$239.20	$418.66
United Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $221.58 / $344.27	Professional		$155.90	$221.58	$344.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $192.82 / $275.43	Professional		$173.09	$192.82	$275.43