Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.27 / $706.28 / $1,917.86	Facility		$300.27	$706.28	$1,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $282.51 / $478.53	Professional		$226.01	$282.51	$478.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.45 / $972.65 / $2,074.44	Facility		$500.45	$972.65	$2,074.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $238.12 / $565.03	Professional		$5.00	$238.12	$565.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $403.59 / $403.59	Facility		$80.00	$403.59	$403.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.98 / $881.43 / $1,786.43	Facility		$207.98	$881.43	$1,786.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $321.36 / $635.27	Professional		$183.87	$321.36	$635.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $785.62 / $1,917.05 / $1,917.05	Facility		$785.62	$1,917.05	$1,917.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.95 / $2,017.95 / $3,026.93	Professional		$2,017.95	$2,017.95	$3,026.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $403.59 / $605.39	Facility		$254.26	$403.59	$605.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $383.41 / $403.59 / $504.49	Professional		$383.41	$403.59	$504.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $484.31 / $908.08	Professional		$262.33	$484.31	$908.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.15 / $438.62 / $1,317.91	Facility		$242.15	$438.62	$1,317.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.27 / $464.13 / $635.27	Professional		$189.27	$464.13	$635.27
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $169.51 / $258.30	Professional		$126.57	$169.51	$258.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.40 / $403.59 / $544.85	Professional		$157.40	$403.59	$544.85