Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $577.30 / $1,705.43	Facility		$217.48	$577.30	$1,705.43
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 $362.46 / $988.53 / $1,726.63	Facility		$362.46	$988.53	$1,726.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $181.23 / $329.51	Professional		$5.00	$181.23	$329.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $329.51 / $329.51	Facility		$80.00	$329.51	$329.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $719.64 / $1,467.55	Facility		$219.49	$719.64	$1,467.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $184.53 / $650.41	Professional		$150.02	$184.53	$650.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $527.22 / $1,565.17 / $1,565.17	Facility		$527.22	$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 $201.00 / $329.51 / $494.27	Facility		$201.00	$329.51	$494.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $411.89	Professional		$329.51	$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 $223.82 / $353.40 / $1,186.52	Facility		$223.82	$353.40	$1,186.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $296.56 / $576.64	Professional		$150.75	$296.56	$576.64
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $210.89	Professional		$138.38	$138.38	$210.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $329.51 / $444.84	Professional		$128.51	$329.51	$444.84