Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.74 / $475.92 / $1,242.51	Facility		$188.74	$475.92	$1,242.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $178.54 / $306.06	Professional		$142.83	$178.54	$306.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $140.28	Professional		$5.00	$5.50	$140.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $255.05 / $255.05	Facility		$80.00	$255.05	$255.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.38 / $583.32 / $1,136.90	Facility		$181.38	$583.32	$1,136.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $242.41 / $463.70	Professional		$129.22	$242.41	$463.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $624.87 / $1,211.49 / $1,211.49	Facility		$624.87	$1,211.49	$1,211.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.25 / $1,275.25 / $1,912.88	Professional		$1,275.25	$1,275.25	$1,912.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.58 / $255.05 / $382.58	Facility		$155.58	$255.05	$382.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $318.81	Professional		$255.05	$255.05	$318.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $464.19 / $1,015.92	Professional		$267.80	$464.19	$1,015.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $280.56 / $987.57	Facility		$178.54	$280.56	$987.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $293.31 / $434.43	Professional		$130.13	$293.31	$434.43
United Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $107.12 / $163.22	Professional		$83.80	$107.12	$163.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $255.05 / $344.32	Professional		$99.47	$255.05	$344.32