Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $394.52 / $513.16	Facility		$227.28	$394.52	$513.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $229.37 / $274.79	Professional		$227.28	$229.37	$274.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.64 / $459.73 / $908.20	Facility		$181.64	$459.73	$908.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $237.64 / $237.64	Professional		$237.64	$237.64	$237.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $13,933.49 / $13,933.49 / $13,933.49	Facility		$13,933.49	$13,933.49	$13,933.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $227.28	Facility		$214.41	$227.28	$227.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.92 / $1,108.55 / $1,136.40	Facility		$294.92	$1,108.55	$1,136.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,490.31 / $9,490.31 / $9,490.31	Professional		$9,490.31	$9,490.31	$9,490.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $227.28 / $367.03	Facility		$227.10	$227.28	$367.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $231.83 / $375.01	Professional		$227.28	$231.83	$375.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $253.60 / $430.40	Professional		$221.90	$253.60	$430.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $376.41	Facility		$227.28	$227.28	$376.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $280.11	Professional		$227.28	$227.28	$280.11
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $227.28 / $365.82	Facility		$221.71	$227.28	$365.82
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $253.01	Professional		$227.28	$240.92	$253.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $227.28 / $318.19	Professional		$224.09	$227.28	$318.19