Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.05 / $576.62 / $1,438.65	Facility		$484.05	$576.62	$1,438.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.66 / $620.57 / $824.28	Professional		$477.66	$620.57	$824.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.16 / $973.66 / $1,799.80	Facility		$403.16	$973.66	$1,799.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $490.77 / $910.31	Professional		$197.94	$490.77	$910.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $656.01 / $736.13 / $736.13	Facility		$656.01	$736.13	$736.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.36 / $827.80 / $1,850.39	Facility		$183.36	$827.80	$1,850.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $754.10 / $1,167.61	Professional		$473.56	$754.10	$1,167.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,427.42 / $3,784.71 / $3,784.71	Facility		$1,427.42	$3,784.71	$3,784.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,008.69 / $4,008.69 / $5,946.53	Professional		$4,008.69	$4,008.69	$5,946.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.42 / $638.53 / $900.39	Facility		$374.42	$638.53	$900.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $807.41 / $1,068.88 / $1,280.29	Professional		$807.41	$1,068.88	$1,280.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $639.48 / $1,212.07	Professional		$239.90	$639.48	$1,212.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.42 / $641.01 / $900.39	Facility		$374.42	$641.01	$900.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $545.82 / $831.16 / $1,554.74	Professional		$545.82	$831.16	$1,554.74
United Facility/Professional Professional Modifier Low / Median / High Price $416.58 / $595.12 / $932.73	Professional		$416.58	$595.12	$932.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $587.47 / $687.93 / $935.02	Professional		$587.47	$687.93	$935.02