Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.34 / $254.23 / $259.12	Facility		$249.34	$254.23	$259.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $259.12 / $430.53	Professional		$234.67	$259.12	$430.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $332.45 / $332.45	Professional		$265.72	$332.45	$332.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $558.34 / $558.34 / $558.34	Facility		$558.34	$558.34	$558.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $347.46	Professional		$253.65	$253.65	$347.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,780.76 / $3,230.95 / $3,230.95	Facility		$2,780.76	$3,230.95	$3,230.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,264.96 / $3,264.96 / $3,873.08	Professional		$3,264.96	$3,264.96	$3,873.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $386.32 / $558.34	Facility		$166.32	$386.32	$558.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $502.51 / $637.97	Professional		$166.32	$502.51	$637.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $586.26 / $586.26 / $597.99	Professional		$586.26	$586.26	$597.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $373.07 / $558.34	Facility		$166.32	$373.07	$558.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $357.88	Professional		$253.65	$253.65	$357.88
United Facility/Professional Professional Modifier Low / Median / High Price $214.69 / $310.45 / $373.07	Professional		$214.69	$310.45	$373.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $309.38 / $558.34	Professional		$302.39	$309.38	$558.34