Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.27 / $408.34 / $519.49	Facility		$341.27	$408.34	$519.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.41 / $442.02 / $564.09	Professional		$373.41	$442.02	$564.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $696.02 / $1,285.75	Facility		$296.08	$696.02	$1,285.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $329.26	Professional		$71.50	$71.50	$329.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.50 / $268.01 / $359.38	Facility		$230.50	$268.01	$359.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.79 / $555.79 / $837.18	Professional		$399.79	$555.79	$837.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $975.76 / $2,438.65 / $2,438.65	Facility		$975.76	$2,438.65	$2,438.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,830.35 / $2,830.35 / $3,933.45	Professional		$2,830.35	$2,830.35	$3,933.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $485.06 / $700.65	Facility		$398.13	$485.06	$700.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $438.20 / $438.20 / $538.96	Professional		$438.20	$438.20	$538.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.73 / $513.79 / $722.21	Professional		$436.73	$513.79	$722.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.38 / $479.38 / $727.60	Facility		$394.38	$479.38	$727.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.52 / $562.67 / $831.96	Professional		$407.52	$562.67	$831.96
United Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $489.64 / $792.74	Professional		$364.00	$489.64	$792.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.96 / $595.44 / $727.60	Professional		$538.96	$595.44	$727.60