Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $167.50 / $1,724.22	Facility		$127.56	$167.50	$1,724.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $163.61 / $337.86	Professional		$127.56	$163.61	$337.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $478.48 / $792.27	Facility		$211.26	$478.48	$792.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $68.62 / $206.43	Professional		$35.96	$68.62	$206.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.18 / $176.59 / $200.36	Facility		$167.18	$176.59	$200.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.09 / $967.37 / $1,571.27	Facility		$389.09	$967.37	$1,571.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $237.13 / $469.39	Professional		$149.18	$237.13	$469.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $1,229.45 / $1,229.45	Facility		$422.38	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.98 / $1,257.98 / $1,527.83	Professional		$1,257.98	$1,257.98	$1,527.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $243.60 / $405.69	Facility		$169.19	$243.60	$405.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $290.35 / $443.15	Professional		$167.50	$290.35	$443.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $211.53 / $379.25	Professional		$33.33	$211.53	$379.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.41 / $308.97 / $1,091.33	Facility		$182.41	$308.97	$1,091.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.96 / $250.87 / $480.13	Professional		$157.96	$250.87	$480.13
United Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $233.30 / $331.06	Professional		$178.43	$233.30	$331.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $167.50 / $239.06	Professional		$150.18	$167.50	$239.06