Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $467.74	Professional		$245.47	$288.40	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,096.48 / $2,041.74	Facility		$371.54	$1,096.48	$2,041.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $812.83	Facility		$288.40	$295.12	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $512.86	Professional		$194.98	$288.40	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $870.96	Facility		$288.40	$295.12	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21