Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $577.30 / $1,617.89	Facility		$220.77	$577.30	$1,617.89
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 $313.31 / $868.46 / $1,440.11	Facility		$313.31	$868.46	$1,440.11
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 $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.18 / $773.34 / $1,467.55	Facility		$214.18	$773.34	$1,467.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $190.32 / $518.67	Professional		$151.22	$190.32	$518.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $807.30 / $1,565.17 / $1,565.17	Facility		$807.30	$1,565.17	$1,565.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.96 / $1,640.96 / $2,471.33	Professional		$1,640.96	$1,640.96	$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 $220.65 / $339.27 / $1,186.52	Facility		$220.65	$339.27	$1,186.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $296.56 / $516.44	Professional		$155.86	$296.56	$516.44
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $411.89	Facility		$329.51	$329.51	$411.89
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $197.71	Professional		$138.38	$138.38	$197.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $329.51 / $444.84	Professional		$128.51	$329.51	$444.84