Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $748.49 / $1,970.69	Facility		$299.33	$748.49	$1,970.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $283.16 / $485.42	Professional		$226.53	$283.16	$485.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.30 / $1,205.47 / $2,119.67	Facility		$462.30	$1,205.47	$2,119.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $222.49 / $404.52	Professional		$5.00	$222.49	$404.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $404.52 / $404.52	Facility		$80.00	$404.52	$404.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.61 / $888.74 / $1,790.90	Facility		$226.61	$888.74	$1,790.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $321.91 / $636.91	Professional		$185.06	$321.91	$636.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $647.23 / $1,921.47 / $1,921.47	Facility		$647.23	$1,921.47	$1,921.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.60 / $2,022.60 / $3,033.90	Professional		$2,022.60	$2,022.60	$3,033.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $404.52 / $647.23	Facility		$246.76	$404.52	$647.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $404.52 / $505.65	Professional		$384.29	$404.52	$505.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.94 / $485.42 / $910.17	Professional		$262.94	$485.42	$910.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.71 / $439.64 / $1,431.26	Facility		$242.71	$439.64	$1,431.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $465.20 / $636.91	Professional		$185.09	$465.20	$636.91
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $169.90 / $258.89	Professional		$137.91	$169.90	$258.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.76 / $404.52 / $546.10	Professional		$157.76	$404.52	$546.10