Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.11 / $260.99 / $282.74	Facility		$250.11	$260.99	$282.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $203.47 / $293.61	Professional		$183.44	$203.47	$293.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.18 / $459.18 / $493.97	Facility		$459.18	$459.18	$493.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.54 / $215.12 / $246.72	Professional		$179.54	$215.12	$246.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $200.18 / $200.18 / $215.32	Facility		$200.18	$200.18	$215.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.97 / $295.80 / $487.40	Professional		$207.97	$295.80	$487.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $1,035.45 / $1,117.39	Facility		$505.09	$1,035.45	$1,117.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,055.80 / $2,055.80 / $2,055.80	Professional		$2,055.80	$2,055.80	$2,055.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $258.05 / $498.11	Facility		$186.23	$258.05	$498.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $315.95 / $411.53	Professional		$254.44	$315.95	$411.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $478.30 / $579.40	Professional		$292.30	$478.30	$579.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $258.62 / $514.73	Facility		$186.23	$258.62	$514.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $312.49 / $571.70	Professional		$220.32	$312.49	$571.70
United Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $255.40 / $380.65	Professional		$193.17	$255.40	$380.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $221.80 / $304.49	Professional		$188.83	$221.80	$304.49