Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.84 / $290.55 / $301.73	Facility		$246.84	$290.55	$301.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.20 / $296.14 / $435.26	Professional		$268.20	$296.14	$435.26
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 $303.68 / $303.68 / $379.95	Professional		$303.68	$303.68	$379.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.94 / $66.94 / $638.11	Facility		$66.94	$66.94	$638.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $328.44	Professional		$239.76	$239.76	$328.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,802.95 / $3,071.49 / $3,071.49	Facility		$2,802.95	$3,071.49	$3,071.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.58 / $3,204.58 / $5,007.14	Professional		$3,204.58	$3,204.58	$5,007.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $441.52 / $638.11	Facility		$169.29	$441.52	$638.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $544.98 / $638.11	Professional		$169.29	$544.98	$638.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $638.11 / $1,464.46	Professional		$210.60	$638.11	$1,464.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.29 / $426.38 / $638.11	Facility		$169.29	$426.38	$638.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $350.14	Professional		$239.76	$239.76	$350.14
United Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $316.00 / $376.19	Professional		$218.52	$316.00	$376.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $319.70 / $638.11	Professional		$314.97	$319.70	$638.11