Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.89 / $413.50 / $413.50	Facility		$397.89	$413.50	$413.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.04 / $413.50 / $670.95	Professional		$390.04	$413.50	$670.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.23 / $469.23 / $606.94	Professional		$469.23	$469.23	$606.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $709.28 / $709.28 / $709.28	Facility		$709.28	$709.28	$709.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $727.83	Professional		$537.70	$537.70	$727.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.16 / $3,271.09 / $3,271.09	Facility		$1,296.16	$3,271.09	$3,271.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,981.95 / $4,999.22 / $4,999.22	Professional		$4,981.95	$4,999.22	$4,999.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $639.33 / $752.15	Facility		$241.25	$639.33	$752.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.17 / $602.89 / $815.67	Professional		$300.17	$602.89	$815.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $744.74 / $764.85	Professional		$744.74	$744.74	$764.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.25 / $638.17 / $737.41	Facility		$241.25	$638.17	$737.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $537.70 / $736.58	Professional		$519.54	$537.70	$736.58
United Facility/Professional Professional Modifier Low / Median / High Price $445.05 / $670.28 / $837.85	Professional		$445.05	$670.28	$837.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $646.32 / $686.57 / $709.28	Professional		$646.32	$686.57	$709.28