Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.81 / $819.05 / $2,155.15	Facility		$324.81	$819.05	$2,155.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $329.20 / $782.37	Professional		$263.36	$329.20	$782.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.88 / $1,536.26 / $3,251.34	Facility		$460.88	$1,536.26	$3,251.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $232.63 / $333.15	Professional		$5.00	$232.63	$333.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $438.93 / $438.93 / $438.93	Facility		$438.93	$438.93	$438.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.23 / $957.24 / $2,218.53	Facility		$352.23	$957.24	$2,218.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $534.84 / $1,588.27	Professional		$232.63	$534.84	$1,588.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.87 / $6,193.76 / $6,193.76	Facility		$2,268.87	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $1,303.95 / $1,434.35	Facility		$276.52	$1,303.95	$1,434.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,303.95 / $1,629.94	Professional		$1,173.56	$1,303.95	$1,629.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $1,434.35 / $2,933.89	Professional		$754.96	$1,434.35	$2,933.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $1,303.95 / $1,601.82	Facility		$276.52	$1,303.95	$1,601.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $548.66 / $1,050.41	Professional		$232.63	$548.66	$1,050.41
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $252.88 / $495.50	Professional		$184.35	$252.88	$495.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.18 / $216.76 / $1,303.95	Professional		$171.18	$216.76	$1,303.95