Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $281.84	Facility		$186.21	$186.21	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $371.54	Professional		$181.97	$218.78	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $489.78	Facility		$457.09	$457.09	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $234.42	Professional		$173.78	$204.17	$234.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $213.80	Facility		$199.53	$199.53	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $512.86	Professional		$218.78	$295.12	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $512.86	Facility		$186.21	$263.03	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $354.81	Professional		$181.97	$218.78	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $575.44	Professional		$323.59	$489.78	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $512.86	Facility		$190.55	$281.84	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $562.34	Professional		$208.93	$302.00	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $389.05	Professional		$194.98	$257.04	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $245.47	Professional		$190.55	$204.17	$245.47