Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.89 / $527.97 / $1,479.63	Facility		$198.89	$527.97	$1,479.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $210.95 / $361.62	Professional		$168.76	$210.95	$361.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $159.72 / $268.20	Professional		$5.00	$159.72	$268.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $301.35 / $301.35	Facility		$80.00	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.75 / $691.35 / $1,342.23	Facility		$200.75	$691.35	$1,342.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $287.91 / $513.41	Professional		$152.66	$287.91	$513.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $1,431.41 / $1,431.41	Facility		$482.16	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.75 / $1,506.75 / $2,260.13	Professional		$1,506.75	$1,506.75	$2,260.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.82 / $301.35 / $452.03	Facility		$183.82	$301.35	$452.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $301.35 / $376.69	Professional		$286.27	$301.35	$376.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $361.62 / $678.04	Professional		$195.88	$361.62	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.69 / $316.54 / $1,085.56	Facility		$204.69	$316.54	$1,085.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $361.62 / $513.41	Professional		$159.72	$361.62	$513.41
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $185.63	Professional		$126.57	$126.57	$185.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $301.35 / $406.82	Professional		$117.53	$301.35	$406.82