Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.54 / $398.20 / $405.86	Facility		$390.54	$398.20	$405.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $405.86 / $658.56	Professional		$375.23	$405.86	$658.56
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 $416.20 / $520.72 / $520.72	Professional		$416.20	$520.72	$520.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $874.53 / $874.53 / $874.53	Facility		$874.53	$874.53	$874.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.73 / $565.73 / $565.73	Facility		$565.73	$565.73	$565.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $565.73	Professional		$412.98	$412.98	$565.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,661.22 / $5,234.93 / $5,234.93	Facility		$4,661.22	$5,234.93	$5,234.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,290.03 / $5,290.03 / $7,425.83	Professional		$5,290.03	$5,290.03	$7,425.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $609.46 / $874.53	Facility		$281.66	$609.46	$874.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $804.57 / $874.53	Professional		$281.66	$804.57	$874.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.82 / $918.26 / $1,530.43	Professional		$802.82	$918.26	$1,530.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.66 / $584.33 / $874.53	Facility		$281.66	$584.33	$874.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $412.98 / $582.70	Professional		$412.98	$412.98	$582.70
United Facility/Professional Professional Modifier Low / Median / High Price $363.58 / $525.77 / $625.91	Professional		$363.58	$525.77	$625.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.92 / $526.17 / $874.53	Professional		$523.92	$526.17	$874.53