Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.12 / $416.98 / $1,159.44	Facility		$176.12	$416.98	$1,159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $166.60 / $285.60	Professional		$133.28	$166.60	$285.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $694.96 / $1,247.11	Facility		$278.45	$694.96	$1,247.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $130.90 / $233.24	Professional		$5.00	$130.90	$233.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Facility		$238.00	$238.00	$238.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $508.96 / $1,052.93	Facility		$111.58	$508.96	$1,052.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $189.42 / $374.84	Professional		$108.42	$189.42	$374.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.80 / $1,130.50 / $1,130.50	Facility		$380.80	$1,130.50	$1,130.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,785.00	Professional		$1,190.00	$1,190.00	$1,785.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.18 / $238.00 / $357.00	Facility		$145.18	$238.00	$357.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $238.00 / $297.50	Professional		$226.10	$238.00	$297.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $285.60 / $535.50	Professional		$154.69	$285.60	$535.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $255.26 / $776.63	Facility		$142.80	$255.26	$776.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $261.80 / $374.84	Professional		$108.81	$261.80	$374.84
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $99.96 / $152.32	Professional		$67.91	$99.96	$152.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $238.00 / $321.30	Professional		$92.82	$238.00	$321.30