Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.28 / $539.62 / $1,512.28	Facility		$203.28	$539.62	$1,512.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $203.28 / $369.60	Professional		$172.48	$203.28	$369.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $163.24 / $274.12	Professional		$5.00	$163.24	$274.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $308.00 / $308.00	Facility		$80.00	$308.00	$308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $722.86 / $1,372.43	Facility		$200.20	$722.86	$1,372.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.46 / $178.03 / $484.90	Professional		$141.46	$178.03	$484.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.80 / $1,463.00 / $1,463.00	Facility		$492.80	$1,463.00	$1,463.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.84 / $1,533.84 / $2,310.00	Professional		$1,533.84	$1,533.84	$2,310.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $308.00 / $462.00	Facility		$187.88	$308.00	$462.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $385.00	Professional		$308.00	$308.00	$385.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $369.60 / $693.00	Professional		$200.20	$369.60	$693.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.25 / $317.12 / $1,109.24	Facility		$206.25	$317.12	$1,109.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $291.00 / $483.07	Professional		$145.79	$291.00	$483.07
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $197.12	Professional		$129.36	$129.36	$197.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $308.00 / $415.80	Professional		$120.12	$308.00	$415.80