Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.50 / $762.24 / $2,136.19	Facility		$291.50	$762.24	$2,136.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.64 / $321.95 / $537.22	Professional		$243.64	$321.95	$537.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.24 / $1,058.96 / $2,240.61	Facility		$561.24	$1,058.96	$2,240.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $239.29 / $609.10	Professional		$5.00	$239.29	$609.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $435.07 / $435.07	Facility		$80.00	$435.07	$435.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $786.18 / $1,852.84	Facility		$109.85	$786.18	$1,852.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $413.36 / $684.85	Professional		$204.13	$413.36	$684.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $696.11 / $2,066.58 / $2,066.58	Facility		$696.11	$2,066.58	$2,066.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.35 / $2,175.35 / $3,263.03	Professional		$2,175.35	$2,175.35	$3,263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.08 / $435.07 / $656.71	Facility		$274.08	$435.07	$656.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $413.32 / $435.07 / $543.84	Professional		$413.32	$435.07	$543.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.80 / $522.08 / $978.91	Professional		$282.80	$522.08	$978.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.64 / $456.82 / $1,420.28	Facility		$243.64	$456.82	$1,420.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.97 / $500.33 / $761.37	Professional		$221.97	$500.33	$761.37
United Facility/Professional Facility Modifier Low / Median / High Price $182.73 / $435.07 / $522.08	Facility		$182.73	$435.07	$522.08
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $182.73 / $278.44	Professional		$182.73	$182.73	$278.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $435.07 / $587.34	Professional		$169.68	$435.07	$587.34