Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.22 / $489.80 / $587.96	Facility		$371.22	$489.80	$587.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $510.42 / $666.81	Professional		$407.39	$510.42	$666.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $520.54 / $812.24	Professional		$449.59	$520.54	$812.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $485.32 / $525.96 / $546.12	Facility		$485.32	$525.96	$546.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.85 / $591.85 / $591.85	Facility		$591.85	$591.85	$591.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.92 / $598.94 / $970.00	Professional		$459.92	$598.94	$970.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.65 / $2,337.33 / $2,542.82	Facility		$1,196.65	$2,337.33	$2,542.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,266.93 / $3,786.99 / $4,193.63	Professional		$3,266.93	$3,786.99	$4,193.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.28 / $550.52 / $965.56	Facility		$463.28	$550.52	$965.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.37 / $724.17 / $928.94	Professional		$549.37	$724.17	$928.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $500.72 / $641.39 / $1,003.04	Professional		$500.72	$641.39	$1,003.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.29 / $551.66 / $1,027.19	Facility		$466.29	$551.66	$1,027.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $481.88 / $646.89 / $1,282.78	Professional		$481.88	$646.89	$1,282.78
United Facility/Professional Professional Modifier Low / Median / High Price $384.59 / $505.27 / $761.06	Professional		$384.59	$505.27	$761.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $500.72 / $685.96	Professional		$394.22	$500.72	$685.96