Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.26 / $268.39 / $2,889.81	Facility		$209.26	$268.39	$2,889.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $264.95 / $492.06	Professional		$209.26	$264.95	$492.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $64.17 / $332.76	Professional		$38.61	$64.17	$332.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $281.85 / $330.57	Facility		$277.72	$281.85	$330.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.38 / $1,205.45 / $2,082.37	Facility		$539.38	$1,205.45	$2,082.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $336.78 / $639.78	Professional		$212.70	$336.78	$639.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $586.49 / $1,653.45 / $1,653.45	Facility		$586.49	$1,653.45	$1,653.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.29 / $2,065.29 / $2,557.35	Professional		$2,065.29	$2,065.29	$2,557.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $309.97 / $585.52	Facility		$189.31	$309.97	$585.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $483.55 / $727.17	Professional		$278.00	$483.55	$727.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $457.43 / $511.70	Professional		$46.30	$457.43	$511.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $388.70 / $1,439.70	Facility		$208.00	$388.70	$1,439.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $339.73 / $652.46	Professional		$215.46	$339.73	$652.46
United Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $339.70 / $522.95	Professional		$209.04	$339.70	$522.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $278.00 / $398.05	Professional		$250.12	$278.00	$398.05