Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.19 / $354.13 / $3,799.17	Facility		$276.19	$354.13	$3,799.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.19 / $349.57 / $646.10	Professional		$276.19	$349.57	$646.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.04 / $1,161.83 / $1,884.76	Facility		$469.04	$1,161.83	$1,884.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $74.72 / $411.56	Professional		$30.86	$74.72	$411.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $364.70 / $370.91 / $438.73	Facility		$364.70	$370.91	$438.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.91 / $1,836.77 / $5,429.97	Facility		$811.91	$1,836.77	$5,429.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.83 / $447.16 / $797.58	Professional		$311.83	$447.16	$797.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $777.89 / $4,042.45 / $4,042.45	Facility		$777.89	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,725.60 / $2,725.60 / $3,359.93	Professional		$2,725.60	$2,725.60	$3,359.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $422.95 / $783.94	Facility		$296.30	$422.95	$783.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.03 / $635.12 / $959.40	Professional		$365.03	$635.12	$959.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $426.42 / $798.71	Professional		$42.36	$426.42	$798.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.14 / $516.64 / $2,197.73	Facility		$327.14	$516.64	$2,197.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.87 / $459.06 / $825.44	Professional		$317.87	$459.06	$825.44
United Facility/Professional Professional Modifier Low / Median / High Price $309.86 / $434.17 / $669.18	Professional		$309.86	$434.17	$669.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.52 / $365.03 / $522.84	Professional		$328.52	$365.03	$522.84