Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.43 / $423.58 / $431.72	Facility		$415.43	$423.58	$431.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.99 / $431.72 / $700.53	Professional		$390.99	$431.72	$700.53
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 $553.91 / $553.91 / $553.91	Professional		$553.91	$553.91	$553.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $930.26 / $930.26 / $930.26	Facility		$930.26	$930.26	$930.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $576.88	Professional		$421.12	$421.12	$576.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.55 / $4,308.97 / $4,308.97	Facility		$1,554.55	$4,308.97	$4,308.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,658.79 / $4,658.79 / $6,773.70	Professional		$4,658.79	$4,658.79	$6,773.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $698.40 / $930.26	Facility		$266.24	$698.40	$930.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.24 / $837.23 / $930.26	Professional		$266.24	$837.23	$930.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $339.00 / $996.31	Professional		$339.00	$339.00	$996.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $576.88 / $930.26	Facility		$266.24	$576.88	$930.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.12 / $421.12 / $669.83	Professional		$421.12	$421.12	$669.83
United Facility/Professional Facility Modifier Low / Median / High Price $936.84 / $936.84 / $1,102.16	Facility		$936.84	$936.84	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $496.97 / $591.64	Professional		$343.66	$496.97	$591.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.24 / $502.69 / $930.26	Professional		$495.24	$502.69	$930.26