Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.53 / $625.83 / $1,710.40	Facility		$249.53	$625.83	$1,710.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $248.18 / $430.09	Professional		$187.81	$248.18	$430.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.18 / $1,058.01 / $1,863.23	Facility		$412.18	$1,058.01	$1,863.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $184.46 / $298.49	Professional		$5.00	$184.46	$298.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $335.38 / $335.38	Facility		$80.00	$335.38	$335.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.12 / $779.95 / $1,694.98	Facility		$303.12	$779.95	$1,694.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $318.70 / $663.00	Professional		$172.53	$318.70	$663.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $821.68 / $1,593.06 / $1,593.06	Facility		$821.68	$1,593.06	$1,593.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $1,676.90 / $2,515.35	Professional		$1,676.90	$1,676.90	$2,515.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.29 / $335.38 / $571.16	Facility		$211.29	$335.38	$571.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.61 / $335.38 / $419.23	Professional		$318.61	$335.38	$419.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $402.46 / $754.61	Professional		$218.00	$402.46	$754.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $412.45 / $1,449.25	Facility		$248.18	$412.45	$1,449.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $385.69 / $609.66	Professional		$178.87	$385.69	$609.66
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $192.17 / $264.77	Professional		$140.86	$192.17	$264.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $335.38 / $452.76	Professional		$130.80	$335.38	$452.76