Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.11 / $185.68 / $189.25	Facility		$182.11	$185.68	$189.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $189.25 / $340.67	Professional		$174.97	$189.25	$340.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $194.08 / $194.08	Professional		$194.08	$194.08	$194.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $407.80 / $407.80 / $407.80	Facility		$407.80	$407.80	$407.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $246.11	Professional		$179.66	$179.66	$246.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $831.53 / $2,095.14 / $2,095.14	Facility		$831.53	$2,095.14	$2,095.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.81 / $2,498.81 / $3,160.05	Professional		$2,498.81	$2,498.81	$3,160.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $284.20 / $407.80	Facility		$126.85	$284.20	$407.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $375.18 / $504.81	Professional		$126.85	$375.18	$504.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $305.85 / $407.80 / $935.91	Professional		$305.85	$407.80	$935.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $272.48 / $407.80	Facility		$126.85	$272.48	$407.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $262.36	Professional		$179.66	$179.66	$262.36
United Facility/Professional Professional Modifier Low / Median / High Price $163.74 / $237.75 / $281.89	Professional		$163.74	$237.75	$281.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $239.88 / $407.80	Professional		$235.96	$239.88	$407.80