Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $545.70 / $556.19	Facility		$535.20	$545.70	$556.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.72 / $556.19 / $902.50	Professional		$503.72	$556.19	$902.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $570.36 / $713.61	Professional		$570.36	$570.36	$713.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,198.47 / $1,198.47 / $1,198.47	Facility		$1,198.47	$1,198.47	$1,198.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $711.81	Professional		$519.62	$519.62	$711.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,737.40 / $5,716.25 / $6,829.65	Facility		$2,737.40	$5,716.25	$6,829.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,653.64 / $8,861.31 / $8,861.31	Professional		$8,653.64	$8,861.31	$8,861.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.31 / $899.77 / $1,198.47	Facility		$347.31	$899.77	$1,198.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $347.31 / $1,078.61 / $1,242.65	Professional		$347.31	$1,078.61	$1,242.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $1,271.33 / $4,590.14	Professional		$453.50	$1,271.33	$4,590.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.31 / $742.98 / $1,198.47	Facility		$347.31	$742.98	$1,198.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $849.83	Professional		$519.62	$519.62	$849.83
United Facility/Professional Professional Modifier Low / Median / High Price $448.32 / $648.32 / $771.81	Professional		$448.32	$648.32	$771.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $656.78 / $1,198.47	Professional		$646.04	$656.78	$1,198.47