Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.70 / $495.61 / $1,388.94	Facility		$186.70	$495.61	$1,388.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $198.02 / $339.46	Professional		$158.41	$198.02	$339.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.68 / $891.07 / $1,485.12	Facility		$302.68	$891.07	$1,485.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $155.58 / $277.22	Professional		$5.00	$155.58	$277.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $280.05 / $280.05 / $282.88	Facility		$280.05	$280.05	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.44 / $621.48 / $1,260.72	Facility		$188.44	$621.48	$1,260.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $158.27 / $441.56	Professional		$128.85	$158.27	$441.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.61 / $1,343.68 / $1,343.68	Facility		$452.61	$1,343.68	$1,343.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $1,414.40 / $2,121.60	Professional		$1,414.40	$1,414.40	$2,121.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $282.88 / $424.32	Facility		$172.56	$282.88	$424.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $353.60	Professional		$282.88	$282.88	$353.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $339.46 / $636.48	Professional		$183.87	$339.46	$636.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $303.39 / $1,018.26	Facility		$192.14	$303.39	$1,018.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $267.47 / $429.45	Professional		$130.16	$267.47	$429.45
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $174.25	Professional		$118.81	$118.81	$174.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $282.88 / $381.89	Professional		$110.32	$282.88	$381.89