Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.45 / $1,115.71 / $2,841.26	Facility		$442.45	$1,115.71	$2,841.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.83 / $394.62 / $717.49	Professional		$334.83	$394.62	$717.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $316.89 / $406.52	Professional		$5.00	$316.89	$406.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Facility		$597.91	$597.91	$597.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.14 / $1,251.42 / $2,610.46	Facility		$398.14	$1,251.42	$2,610.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $482.70 / $941.47	Professional		$303.16	$482.70	$941.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $956.66 / $2,840.07 / $2,840.07	Facility		$956.66	$2,840.07	$2,840.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $597.91 / $717.49	Facility		$358.75	$597.91	$717.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $597.91 / $597.91	Professional		$572.00	$597.91	$597.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $717.49 / $1,345.30	Professional		$388.64	$717.49	$1,345.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $597.91 / $1,305.83	Facility		$358.75	$597.91	$1,305.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.98 / $597.91 / $941.47	Professional		$304.98	$597.91	$941.47
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $252.88 / $361.26	Professional		$251.12	$252.88	$361.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $239.16 / $597.91	Professional		$233.18	$239.16	$597.91