Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $437.36 / $1,645.25	Facility		$202.64	$437.36	$1,645.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $222.90 / $388.39	Professional		$159.94	$222.90	$388.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $179.00 / $300.58	Professional		$5.00	$179.00	$300.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $337.73 / $337.73	Facility		$80.00	$337.73	$337.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $610.27 / $1,438.67	Facility		$89.37	$610.27	$1,438.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $253.39 / $531.75	Professional		$100.95	$253.39	$531.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $657.41 / $1,604.22 / $1,604.22	Facility		$657.41	$1,604.22	$1,604.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.65 / $1,688.65 / $2,532.98	Professional		$1,688.65	$1,688.65	$2,532.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.13 / $337.73 / $506.60	Facility		$189.13	$337.73	$506.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $337.73 / $422.16	Professional		$320.83	$337.73	$422.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $219.52 / $405.28 / $759.89	Professional		$219.52	$405.28	$759.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $354.62 / $1,020.18	Facility		$152.47	$354.62	$1,020.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $371.50 / $531.75	Professional		$100.95	$371.50	$531.75
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $141.85 / $202.64	Professional		$54.40	$141.85	$202.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $337.73 / $455.94	Professional		$131.71	$337.73	$455.94