Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.29 / $553.44 / $651.61	Facility		$449.29	$553.44	$651.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $606.51 / $793.87	Professional		$84.31	$606.51	$793.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.01 / $1,950.91 / $5,489.51	Facility		$1,071.01	$1,950.91	$5,489.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $158.94 / $158.94	Professional		$135.11	$158.94	$158.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $117.12 / $117.12	Facility		$117.12	$117.12	$117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.33 / $4,060.36 / $4,208.41	Facility		$1,051.33	$4,060.36	$4,208.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,977.89 / $4,977.89 / $4,977.89	Professional		$4,977.89	$4,977.89	$4,977.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $485.23 / $1,010.90	Facility		$110.14	$485.23	$1,010.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.15 / $164.15 / $164.15	Professional		$164.15	$164.15	$164.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $897.10 / $1,076.70 / $1,076.70	Professional		$897.10	$1,076.70	$1,076.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $472.37 / $1,004.12	Facility		$110.14	$472.37	$1,004.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.51 / $630.72 / $630.72	Professional		$351.51	$630.72	$630.72
United Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $163.26 / $355.06	Professional		$55.79	$163.26	$355.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $771.98 / $1,050.14	Professional		$500.00	$771.98	$1,050.14