Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.10 / $528.15 / $711.24	Facility		$352.10	$528.15	$711.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $421.83	Professional		$356.93	$356.93	$421.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $657.38 / $1,254.27	Facility		$262.95	$657.38	$1,254.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $357.02	Facility		$80.00	$80.00	$357.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $356.93 / $356.93	Facility		$336.73	$356.93	$356.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $450.31 / $1,692.65 / $1,784.65	Facility		$450.31	$1,692.65	$1,784.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.24 / $1,496.24 / $1,496.24	Professional		$1,496.24	$1,496.24	$1,496.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $356.93 / $751.46	Facility		$348.62	$356.93	$751.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $364.07 / $588.92	Professional		$356.93	$364.07	$588.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $350.95 / $392.73 / $666.80	Professional		$350.95	$392.73	$666.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $663.89	Facility		$356.93	$356.93	$663.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $423.61	Professional		$356.93	$356.93	$423.61
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $378.35 / $397.34	Professional		$356.93	$378.35	$397.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $356.93 / $499.70	Professional		$338.89	$356.93	$499.70