Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.53 / $305.49 / $369.95	Facility		$231.53	$305.49	$369.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $318.98 / $416.19	Professional		$253.85	$318.98	$416.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.41 / $344.78 / $505.35	Professional		$280.41	$344.78	$505.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.49 / $333.33 / $346.46	Facility		$305.49	$333.33	$346.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.33 / $374.39 / $602.89	Professional		$287.33	$374.39	$602.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $748.13 / $1,472.94 / $1,610.25	Facility		$748.13	$1,472.94	$1,610.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.30 / $2,326.30 / $2,647.05	Professional		$2,326.30	$2,326.30	$2,647.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.48 / $343.27 / $602.62	Facility		$289.48	$343.27	$602.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.20 / $456.36 / $585.40	Professional		$346.20	$456.36	$585.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $315.56 / $405.04 / $636.66	Professional		$315.56	$405.04	$636.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.64 / $344.84 / $640.55	Facility		$292.64	$344.84	$640.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.69 / $405.46 / $804.72	Professional		$300.69	$405.46	$804.72
United Facility/Professional Professional Modifier Low / Median / High Price $238.15 / $314.66 / $477.42	Professional		$238.15	$314.66	$477.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $315.49 / $431.61	Professional		$248.43	$315.49	$431.61