Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.39 / $481.51 / $1,349.42	Facility		$181.39	$481.51	$1,349.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $192.38 / $329.80	Professional		$153.90	$192.38	$329.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.56 / $824.49 / $1,440.11	Facility		$299.56	$824.49	$1,440.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $145.66 / $274.83	Professional		$5.00	$145.66	$274.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $274.83	Facility		$272.08	$272.08	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.08 / $630.48 / $1,224.47	Facility		$183.08	$630.48	$1,224.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $262.58 / $468.03	Professional		$139.22	$262.58	$468.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,305.44 / $1,305.44	Facility		$550.00	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.15 / $1,374.15 / $2,061.23	Professional		$1,374.15	$1,374.15	$2,061.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $274.83 / $439.73	Facility		$167.65	$274.83	$439.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $274.83 / $343.54	Professional		$261.08	$274.83	$343.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $329.80 / $618.37	Professional		$178.64	$329.80	$618.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.68 / $288.70 / $989.60	Facility		$186.68	$288.70	$989.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $329.80 / $468.03	Professional		$145.66	$329.80	$468.03
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $195.27	Professional		$115.43	$115.43	$195.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $274.83 / $371.02	Professional		$107.18	$274.83	$371.02