Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.67 / $657.44 / $1,842.48	Facility		$247.67	$657.44	$1,842.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $262.68 / $450.30	Professional		$210.14	$262.68	$450.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $262.68	Professional		$5.00	$5.50	$262.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $375.25 / $375.25	Facility		$80.00	$375.25	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $818.34 / $1,671.38	Facility		$249.97	$818.34	$1,671.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $210.14 / $586.13	Professional		$170.90	$210.14	$586.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $1,782.44 / $1,782.44	Facility		$600.40	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.25 / $1,876.25 / $2,814.38	Professional		$1,876.25	$1,876.25	$2,814.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $375.25 / $562.88	Facility		$228.90	$375.25	$562.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $469.06	Professional		$375.25	$375.25	$469.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $450.30 / $844.31	Professional		$243.91	$450.30	$844.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.89 / $402.46 / $1,257.08	Facility		$254.89	$402.46	$1,257.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $337.73 / $579.02	Professional		$171.71	$337.73	$579.02
United Facility/Professional Facility Modifier Low / Median / High Price $157.61 / $375.25 / $450.30	Facility		$157.61	$375.25	$450.30
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $157.61 / $240.16	Professional		$157.61	$157.61	$240.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $375.25 / $506.59	Professional		$146.35	$375.25	$506.59