Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.66 / $614.88 / $1,605.26	Facility		$230.66	$614.88	$1,605.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $230.66 / $395.41	Professional		$184.53	$230.66	$395.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.36 / $616.17 / $1,644.25	Facility		$428.36	$616.17	$1,644.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $181.23 / $461.31	Professional		$5.00	$181.23	$461.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $326.20 / $329.51	Facility		$326.20	$326.20	$329.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $752.97 / $1,467.55	Facility		$229.64	$752.97	$1,467.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $185.49 / $517.50	Professional		$150.02	$185.49	$517.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $1,565.17 / $1,565.17	Facility		$641.41	$1,565.17	$1,565.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.55 / $1,647.55 / $2,471.33	Professional		$1,647.55	$1,647.55	$2,471.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $329.51 / $494.27	Facility		$207.59	$329.51	$494.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $329.51 / $411.89	Professional		$313.02	$329.51	$411.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $395.41 / $741.40	Professional		$214.18	$395.41	$741.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.66 / $378.94 / $1,277.08	Facility		$230.66	$378.94	$1,277.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $296.56 / $503.04	Professional		$152.54	$296.56	$503.04
United Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $329.51 / $398.18	Facility		$138.38	$329.51	$398.18
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $202.98	Professional		$138.38	$138.38	$202.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $329.51 / $444.84	Professional		$128.51	$329.51	$444.84