Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $527.97 / $1,479.63	Facility		$198.89	$527.97	$1,479.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $210.95 / $361.62	Professional		$168.76	$210.95	$361.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $210.94	Professional		$5.00	$5.50	$210.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $301.35 / $301.35	Facility		$80.00	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.75 / $662.07 / $1,342.23	Facility		$200.75	$662.07	$1,342.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $168.55 / $470.25	Professional		$137.19	$168.55	$470.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $1,431.41 / $1,431.41	Facility		$482.16	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $301.35 / $452.03	Facility		$180.81	$301.35	$452.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $376.69	Professional		$301.35	$301.35	$376.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $361.62 / $678.04	Professional		$195.88	$361.62	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.69 / $323.19 / $1,085.56	Facility		$204.69	$323.19	$1,085.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $239.98 / $457.35	Professional		$137.87	$239.98	$457.35
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $192.86	Professional		$126.57	$126.57	$192.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $301.35 / $406.82	Professional		$117.53	$301.35	$406.82