Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.35 / $411.89 / $1,083.83	Facility		$163.35	$411.89	$1,083.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $163.88 / $283.08	Professional		$132.44	$163.88	$283.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.29 / $704.16 / $1,196.41	Facility		$271.29	$704.16	$1,196.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $121.41 / $309.04	Professional		$5.00	$121.41	$309.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $220.74 / $220.74	Facility		$80.00	$220.74	$220.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.52 / $513.36 / $1,115.89	Facility		$199.52	$513.36	$1,115.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $209.58 / $437.00	Professional		$113.60	$209.58	$437.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $540.80 / $1,048.52 / $1,048.52	Facility		$540.80	$1,048.52	$1,048.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.70 / $1,103.70 / $1,655.55	Professional		$1,103.70	$1,103.70	$1,655.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $220.74 / $375.92	Facility		$139.07	$220.74	$375.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $220.74 / $275.93	Professional		$209.70	$220.74	$275.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $264.89 / $496.67	Professional		$143.47	$264.89	$496.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $271.47 / $954.20	Facility		$165.56	$271.47	$954.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $253.85 / $401.41	Professional		$117.73	$253.85	$401.41
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $126.48 / $180.42	Professional		$92.71	$126.48	$180.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $220.74 / $298.00	Professional		$86.09	$220.74	$298.00