Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $630.96	Facility		$257.04	$457.09	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $316.23	Professional		$257.04	$263.03	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $933.25	Facility		$199.53	$489.78	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $263.03	Facility		$79.43	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $263.03 / $263.03	Facility		$245.47	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $436.52	Facility		$263.03	$269.15	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Professional		$257.04	$257.04	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $295.12	Professional		$251.19	$257.04	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $354.81 / $467.74	Professional		$0.60	$354.81	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $269.15 / $436.52	Facility		$263.03	$269.15	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $263.03	Facility		$257.04	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $288.40	Professional		$263.03	$275.42	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $323.59	Professional		$251.19	$263.03	$323.59