Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.98 / $529.60 / $1,612.50	Facility		$230.98	$529.60	$1,612.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $218.46 / $397.20	Professional		$185.36	$218.46	$397.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.72 / $946.66 / $1,734.44	Facility		$370.72	$946.66	$1,734.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $182.05 / $331.00	Professional		$5.00	$182.05	$331.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $331.00 / $331.00	Facility		$80.00	$331.00	$331.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $661.59 / $1,409.80	Facility		$127.40	$661.59	$1,409.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $263.58 / $520.86	Professional		$147.41	$263.58	$520.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $644.30 / $1,572.25 / $1,572.25	Facility		$644.30	$1,572.25	$1,572.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.00 / $1,655.00 / $2,482.50	Professional		$1,655.00	$1,655.00	$2,482.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.91 / $331.00 / $496.50	Facility		$201.91	$331.00	$496.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.45 / $331.00 / $413.75	Professional		$314.45	$331.00	$413.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $397.20 / $744.75	Professional		$215.15	$397.20	$744.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.63 / $347.55 / $1,080.22	Facility		$194.63	$347.55	$1,080.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $380.65 / $520.86	Professional		$147.41	$380.65	$520.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $139.02 / $198.60	Professional		$77.42	$139.02	$198.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.09 / $331.00 / $446.85	Professional		$129.09	$331.00	$446.85