Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $329.88 / $342.82	Facility		$156.00	$329.88	$342.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.91 / $342.82 / $556.27	Professional		$314.91	$342.82	$556.27
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 $351.55 / $351.55 / $439.84	Professional		$351.55	$351.55	$439.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $738.69 / $738.69 / $738.69	Facility		$738.69	$738.69	$738.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $408.60	Professional		$298.27	$298.27	$408.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.56 / $3,518.89 / $4,141.43	Facility		$1,545.56	$3,518.89	$4,141.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,535.78 / $4,644.63 / $6,534.08	Professional		$4,535.78	$4,644.63	$6,534.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $511.11 / $738.69	Facility		$210.61	$511.11	$738.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.61 / $664.82 / $738.69	Professional		$210.61	$664.82	$738.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $291.10 / $738.69 / $1,695.29	Professional		$291.10	$738.69	$1,695.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $493.59 / $738.69	Facility		$210.61	$493.59	$738.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $435.59	Professional		$298.27	$298.27	$435.59
United Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $393.14 / $468.02	Professional		$271.86	$393.14	$468.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $391.76 / $738.69	Professional		$382.93	$391.76	$738.69