Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.88 / $819.94 / $2,422.17	Facility		$308.88	$819.94	$2,422.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $351.00 / $1,500.00	Professional		$262.08	$351.00	$1,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $1,404.00 / $2,447.64	Facility		$514.79	$1,404.00	$2,447.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $257.39 / $468.00	Professional		$5.00	$257.39	$468.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $463.32 / $463.32 / $468.00	Facility		$463.32	$463.32	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $1,232.49 / $2,480.76	Facility		$311.75	$1,232.49	$2,480.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.10 / $273.77 / $730.69	Professional		$213.10	$273.77	$730.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $2,223.00 / $2,223.00	Facility		$748.80	$2,223.00	$2,223.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $3,510.00	Professional		$2,340.00	$2,340.00	$3,510.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $468.00 / $702.00	Facility		$280.80	$468.00	$702.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $585.00	Professional		$468.00	$468.00	$585.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $561.60 / $1,053.00	Professional		$304.20	$561.60	$1,053.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.06 / $508.62 / $2,022.05	Facility		$326.06	$508.62	$2,022.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $442.31 / $710.65	Professional		$215.38	$442.31	$710.65
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $280.80	Professional		$196.56	$196.56	$280.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $468.00 / $631.79	Professional		$182.52	$468.00	$631.79