Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $159.62 / $1,738.53	Facility		$124.39	$159.62	$1,738.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $159.13 / $299.20	Professional		$124.39	$159.13	$299.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.62 / $468.42 / $773.33	Facility		$195.62	$468.42	$773.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $133.94 / $202.57	Professional		$25.08	$133.94	$202.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $168.80 / $171.85 / $195.51	Facility		$168.80	$171.85	$195.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.58 / $806.64 / $2,014.52	Facility		$352.58	$806.64	$2,014.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $204.69 / $378.09	Professional		$146.72	$204.69	$378.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.48 / $1,678.56 / $1,752.56	Facility		$1,336.48	$1,678.56	$1,752.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.50 / $1,227.50 / $1,551.15	Professional		$1,227.50	$1,227.50	$1,551.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $216.29 / $353.07	Facility		$169.04	$216.29	$353.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $293.55 / $432.48	Professional		$169.04	$293.55	$432.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $264.89 / $310.83	Professional		$40.36	$264.89	$310.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.60 / $247.00 / $964.87	Facility		$172.60	$247.00	$964.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $210.55 / $382.31	Professional		$152.62	$210.55	$382.31
United Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $748.78 / $1,124.51	Facility		$489.40	$748.78	$1,124.51
United Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $202.18 / $311.49	Professional		$157.51	$202.18	$311.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $169.04 / $241.56	Professional		$151.84	$169.04	$241.56