Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $490.56 / $1,374.80	Facility		$184.80	$490.56	$1,374.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $196.00 / $336.00	Professional		$156.80	$196.00	$336.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.60 / $882.00 / $1,470.00	Facility		$299.60	$882.00	$1,470.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $154.00 / $280.00	Professional		$5.00	$154.00	$280.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $280.00 / $280.00	Facility		$80.00	$280.00	$280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $505.96 / $1,191.91	Facility		$90.04	$505.96	$1,191.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $265.91 / $440.77	Professional		$141.88	$265.91	$440.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $1,330.00 / $1,330.00	Facility		$448.00	$1,330.00	$1,330.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,100.00	Professional		$1,400.00	$1,400.00	$2,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.80 / $280.00 / $420.00	Facility		$170.80	$280.00	$420.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $350.00	Professional		$280.00	$280.00	$350.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $336.00 / $630.00	Professional		$182.00	$336.00	$630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.80 / $300.30 / $914.30	Facility		$156.80	$300.30	$914.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $322.00 / $440.77	Professional		$142.83	$322.00	$440.77
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $117.60 / $198.95	Professional		$117.60	$117.60	$198.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $280.00 / $378.00	Professional		$109.20	$280.00	$378.00