Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $654.10 / $855.93	Facility		$388.83	$654.10	$855.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.71 / $470.48	Professional		$392.63	$392.71	$470.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.11 / $726.68 / $1,429.81	Facility		$287.11	$726.68	$1,429.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $257.88 / $257.88	Professional		$257.88	$257.88	$257.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $392.72	Facility		$80.00	$80.00	$392.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.40 / $392.63 / $392.63	Facility		$370.40	$392.63	$392.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Professional		$392.63	$392.63	$392.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $497.18 / $1,868.85 / $1,963.15	Facility		$497.18	$1,868.85	$1,963.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,283.71 / $6,283.71 / $6,283.71	Professional		$6,283.71	$6,283.71	$6,283.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $310.08 / $392.63 / $606.29	Facility		$310.08	$392.63	$606.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $400.48 / $647.84	Professional		$392.63	$400.48	$647.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $321.50 / $431.89 / $719.40	Professional		$321.50	$431.89	$719.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.85 / $392.63 / $621.77	Facility		$313.85	$392.63	$621.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $392.63 / $467.21	Professional		$392.63	$392.63	$467.21
United Facility/Professional Facility Modifier Low / Median / High Price $392.63 / $392.63 / $392.63	Facility		$392.63	$392.63	$392.63
United Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $416.19 / $437.08	Professional		$392.63	$416.19	$437.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $392.63 / $549.67	Professional		$373.77	$392.63	$549.67