Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.26 / $228.65 / $233.05	Facility		$224.26	$228.65	$233.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $233.05 / $431.20	Professional		$215.46	$233.05	$431.20
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 $238.99 / $238.99 / $299.01	Professional		$238.99	$238.99	$299.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $502.18 / $502.18 / $502.18	Facility		$502.18	$502.18	$502.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $313.79	Professional		$229.07	$229.07	$313.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.42 / $2,738.27 / $3,180.46	Facility		$1,191.42	$2,738.27	$3,180.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,766.55 / $3,856.95 / $4,491.68	Professional		$3,766.55	$3,856.95	$4,491.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $349.97 / $502.18	Facility		$161.74	$349.97	$502.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $457.90 / $638.97	Professional		$161.74	$457.90	$638.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $502.18 / $1,152.49	Professional		$240.80	$502.18	$1,152.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.74 / $335.54 / $502.18	Facility		$161.74	$335.54	$502.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $334.52	Professional		$229.07	$229.07	$334.52
United Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $301.61 / $359.42	Professional		$207.36	$301.61	$359.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.85 / $308.99 / $502.18	Professional		$300.85	$308.99	$502.18