Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.60 / $325.38 / $396.23	Facility		$246.60	$325.38	$396.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $342.51 / $445.57	Professional		$272.94	$342.51	$445.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.98 / $519.99 / $565.91	Professional		$363.98	$519.99	$565.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $327.18 / $360.51 / $374.61	Facility		$327.18	$360.51	$374.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.25 / $400.83 / $647.96	Professional		$309.25	$400.83	$647.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $802.24 / $1,577.39 / $1,726.29	Facility		$802.24	$1,577.39	$1,726.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.60 / $2,488.60 / $2,831.18	Professional		$2,488.60	$2,488.60	$2,831.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $366.27 / $647.23	Facility		$308.39	$366.27	$647.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $488.72 / $626.91	Professional		$370.76	$488.72	$626.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $430.23 / $682.02	Professional		$337.95	$430.23	$682.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.27 / $369.21 / $686.31	Facility		$312.27	$369.21	$686.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $434.89 / $859.32	Professional		$323.58	$434.89	$859.32
United Facility/Professional Facility Modifier Low / Median / High Price $337.29 / $337.29 / $560.79	Facility		$337.29	$337.29	$560.79
United Facility/Professional Professional Modifier Low / Median / High Price $257.06 / $339.02 / $516.60	Professional		$257.06	$339.02	$516.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $337.96 / $462.27	Professional		$266.05	$337.96	$462.27