Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $446.68	Professional		$281.84	$338.84	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $549.54	Professional		$302.00	$371.54	$549.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $363.08	Facility		$323.59	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $676.08	Professional		$309.03	$407.38	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,818.38 / $2,818.38	Professional		$2,511.89	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $707.95	Facility		$323.59	$416.87	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $602.56	Professional		$295.12	$363.08	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $870.96	Professional		$295.12	$616.60	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $724.44	Facility		$323.59	$426.58	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $776.25	Professional		$309.03	$407.38	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $524.81	Professional		$263.03	$346.74	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $446.68	Professional		$245.47	$354.81	$446.68