Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $262.69 / $433.48	Facility		$216.90	$262.69	$433.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $218.91 / $260.27	Professional		$216.90	$218.91	$260.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.98 / $526.40 / $1,050.30	Facility		$207.98	$526.40	$1,050.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $215.59 / $215.59	Professional		$215.59	$215.59	$215.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $221.22 / $221.22 / $221.22	Facility		$221.22	$221.22	$221.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $216.90 / $216.90	Facility		$204.63	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $1,060.00 / $1,084.50	Facility		$282.00	$1,060.00	$1,084.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $936.51 / $936.51 / $936.51	Professional		$936.51	$936.51	$936.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.90 / $446.81	Facility		$216.74	$216.90	$446.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $221.24 / $357.89	Professional		$216.90	$221.24	$357.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $243.34 / $420.40	Professional		$216.80	$243.34	$420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $403.44	Facility		$216.90	$216.90	$403.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $257.98	Professional		$216.90	$216.90	$257.98
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.91 / $241.46	Professional		$216.90	$229.91	$241.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $216.90 / $303.66	Professional		$212.12	$216.90	$303.66