Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $495.61 / $1,464.08	Facility		$186.70	$495.61	$1,464.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $198.02 / $339.46	Professional		$158.41	$198.02	$339.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.33 / $848.64 / $1,482.29	Facility		$308.33	$848.64	$1,482.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $155.58 / $282.88	Professional		$5.00	$155.58	$282.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $282.88 / $282.88	Facility		$80.00	$282.88	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $744.78 / $1,499.96	Facility		$188.44	$744.78	$1,499.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $165.48 / $441.56	Professional		$128.85	$165.48	$441.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.61 / $1,343.68 / $1,343.68	Facility		$452.61	$1,343.68	$1,343.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $282.88 / $424.32	Facility		$169.73	$282.88	$424.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $353.60	Professional		$282.88	$282.88	$353.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $339.46 / $636.48	Professional		$183.87	$339.46	$636.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.08 / $307.44 / $1,221.91	Facility		$197.08	$307.44	$1,221.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $267.47 / $429.45	Professional		$130.16	$267.47	$429.45
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $181.04	Professional		$118.81	$118.81	$181.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $282.88 / $381.89	Professional		$110.32	$282.88	$381.89