Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $1,412.54	Facility		$165.96	$416.87	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $331.13	Professional		$162.18	$223.87	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $169.82	Professional		$5.01	$5.50	$169.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $275.42 / $275.42	Facility		$79.43	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $501.19 / $1,230.27	Facility		$177.83	$501.19	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $436.52	Professional		$125.89	$173.78	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $524.81	Facility		$204.17	$275.42	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $218.78 / $346.74	Professional		$7.08	$218.78	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $588.84	Professional		$275.42	$295.12	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $812.83	Facility		$199.53	$295.12	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $426.58	Professional		$123.03	$190.55	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $275.42	Facility		$100.00	$114.82	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $275.42	Professional		$107.15	$275.42	$275.42