Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.07 / $908.03 / $2,544.75	Facility		$342.07	$908.03	$2,544.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.24 / $383.53 / $596.02	Professional		$290.24	$383.53	$596.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $1,264.59 / $2,658.78	Facility		$642.66	$1,264.59	$2,658.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $285.05 / $725.59	Professional		$5.00	$285.05	$725.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $513.10 / $513.10 / $518.28	Facility		$513.10	$513.10	$518.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $1,216.36 / $2,308.56	Facility		$336.88	$1,216.36	$2,308.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $299.39 / $816.15	Professional		$237.90	$299.39	$816.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $829.25 / $2,461.83 / $2,461.83	Facility		$829.25	$2,461.83	$2,461.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.03 / $2,581.03 / $3,887.10	Professional		$2,581.03	$2,581.03	$3,887.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.14 / $518.28 / $777.42	Facility		$316.14	$518.28	$777.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $647.85	Professional		$518.28	$518.28	$647.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $621.94 / $1,166.13	Professional		$336.88	$621.94	$1,166.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.06 / $533.62 / $1,867.02	Facility		$347.06	$533.62	$1,867.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.19 / $489.69 / $812.40	Professional		$245.19	$489.69	$812.40
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $331.70	Professional		$217.68	$217.68	$331.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $518.28 / $699.68	Professional		$202.13	$518.28	$699.68