Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.37 / $219.60 / $223.82	Facility		$215.37	$219.60	$223.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $223.82 / $363.18	Professional		$202.70	$223.82	$363.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.52 / $229.52 / $229.52	Professional		$229.52	$229.52	$229.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $482.28 / $482.28 / $482.28	Facility		$482.28	$482.28	$482.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.33 / $2,665.75 / $2,665.75	Facility		$2,182.33	$2,665.75	$2,665.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.81 / $2,693.81 / $3,156.83	Professional		$2,693.81	$2,693.81	$3,156.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $331.47 / $482.28	Facility		$135.56	$331.47	$482.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $434.05 / $531.51	Professional		$135.56	$434.05	$531.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $140.60 / $516.53	Professional		$140.60	$140.60	$516.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $322.23 / $482.28	Facility		$135.56	$322.23	$482.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $304.58	Professional		$215.87	$215.87	$304.58
United Facility/Professional Facility Modifier Low / Median / High Price $161.33 / $208.12 / $244.99	Facility		$161.33	$208.12	$244.99
United Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $253.05 / $301.25	Professional		$174.99	$253.05	$301.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $256.36 / $482.28	Professional		$252.17	$256.36	$482.28