Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.42 / $460.00 / $1,200.98	Facility		$182.42	$460.00	$1,200.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $172.56 / $295.82	Professional		$138.05	$172.56	$295.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.48 / $601.51 / $1,264.65	Facility		$320.48	$601.51	$1,264.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $135.59 / $345.13	Professional		$5.00	$135.59	$345.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $246.52 / $246.52	Facility		$80.00	$246.52	$246.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $541.61 / $1,090.44	Facility		$163.74	$541.61	$1,090.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $196.37 / $419.69	Professional		$123.17	$196.37	$419.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $440.99 / $1,170.97 / $1,170.97	Facility		$440.99	$1,170.97	$1,170.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,232.59 / $1,232.59 / $1,848.90	Professional		$1,232.59	$1,232.59	$1,848.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $246.52 / $369.78	Facility		$150.38	$246.52	$369.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $246.52 / $369.78	Professional		$232.92	$246.52	$369.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $295.82 / $554.66	Professional		$160.24	$295.82	$554.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.58 / $290.89 / $954.99	Facility		$163.58	$290.89	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $283.50 / $419.69	Professional		$124.46	$283.50	$419.69
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.80 / $151.86	Professional		$103.54	$103.80	$151.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $246.52 / $332.80	Professional		$96.14	$246.52	$332.80