Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.33 / $272.58 / $277.82	Facility		$267.33	$272.58	$277.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $277.82 / $450.80	Professional		$251.61	$277.82	$450.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.45 / $356.45 / $356.45	Professional		$356.45	$356.45	$356.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $598.63 / $598.63 / $598.63	Facility		$598.63	$598.63	$598.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $276.70	Professional		$276.70	$276.70	$276.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,039.68 / $2,777.77 / $2,777.77	Facility		$1,039.68	$2,777.77	$2,777.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,176.29 / $3,176.29 / $4,555.43	Professional		$3,176.29	$3,176.29	$4,555.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $414.18 / $598.63	Facility		$167.43	$414.18	$598.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $538.77 / $598.63	Professional		$167.43	$538.77	$598.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $688.42 / $702.19 / $980.04	Professional		$688.42	$702.19	$980.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.43 / $399.98 / $598.63	Facility		$167.43	$399.98	$598.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $468.52	Professional		$276.70	$276.70	$468.52
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $308.49 / $372.06	Professional		$216.12	$308.49	$372.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.44 / $316.12 / $598.63	Professional		$311.44	$316.12	$598.63