Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $456.30 / $1,828.07	Facility		$225.15	$456.30	$1,828.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $247.67 / $431.54	Professional		$115.13	$247.67	$431.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $1,028.19 / $1,966.31	Facility		$375.25	$1,028.19	$1,966.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $198.88 / $375.25	Professional		$5.00	$198.88	$375.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $375.25 / $375.25	Facility		$80.00	$375.25	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $678.07 / $1,597.39	Facility		$64.34	$678.07	$1,597.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $281.49 / $579.02	Professional		$167.16	$281.49	$579.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $1,782.44 / $1,782.44	Facility		$600.40	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.65 / $375.25 / $562.88	Facility		$220.65	$375.25	$562.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $469.06	Professional		$375.25	$375.25	$469.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $450.30 / $844.31	Professional		$243.91	$450.30	$844.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.02 / $375.63 / $1,133.54	Facility		$110.02	$375.63	$1,133.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $431.54 / $579.02	Professional		$98.37	$431.54	$579.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $157.61 / $225.15	Professional		$39.15	$157.61	$225.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $375.25 / $506.59	Professional		$146.35	$375.25	$506.59