Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $370.42 / $533.85	Facility		$236.62	$370.42	$533.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $286.31	Professional		$236.62	$238.98	$286.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.92 / $488.81 / $975.31	Facility		$198.92	$488.81	$975.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.07 / $231.07 / $231.07	Professional		$231.07	$231.07	$231.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $240.17	Facility		$80.00	$80.00	$240.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $236.62 / $236.62	Facility		$223.22	$236.62	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $1,165.59 / $1,183.09	Facility		$310.08	$1,165.59	$1,183.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.23 / $1,029.23 / $1,029.23	Professional		$1,029.23	$1,029.23	$1,029.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $463.11	Facility		$236.62	$236.62	$463.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $241.35 / $390.42	Professional		$236.62	$241.35	$390.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $264.18 / $475.00	Professional		$236.08	$264.18	$475.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $414.09	Facility		$236.62	$236.62	$414.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $287.08	Professional		$236.62	$236.62	$287.08
United Facility/Professional Facility Modifier Low / Median / High Price $284.41 / $384.65 / $384.65	Facility		$284.41	$384.65	$384.65
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.82 / $263.41	Professional		$236.62	$250.82	$263.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $236.62 / $331.27	Professional		$233.12	$236.62	$331.27