Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.60 / $191.28 / $194.96	Facility		$187.60	$191.28	$194.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $194.96 / $316.35	Professional		$176.57	$194.96	$316.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.93 / $250.14 / $250.14	Professional		$199.93	$250.14	$250.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $420.10 / $420.10 / $420.10	Facility		$420.10	$420.10	$420.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $170.28	Professional		$170.28	$170.28	$170.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,945.90 / $1,945.90	Facility		$702.00	$1,945.90	$1,945.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.75 / $2,103.75 / $3,058.88	Professional		$2,103.75	$2,103.75	$3,058.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $290.66 / $420.10	Facility		$120.23	$290.66	$420.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $378.09 / $420.10	Professional		$120.23	$378.09	$420.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $441.11 / $441.11 / $449.93	Professional		$441.11	$441.11	$449.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $280.70 / $420.10	Facility		$120.23	$280.70	$420.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $339.12	Professional		$170.28	$170.28	$339.12
United Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $224.20 / $267.18	Professional		$155.19	$224.20	$267.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.64 / $224.90 / $420.10	Professional		$223.64	$224.90	$420.10