Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.43 / $202.32 / $206.21	Facility		$198.43	$202.32	$206.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.65 / $206.21 / $334.61	Professional		$190.65	$206.21	$334.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.57 / $264.57 / $264.57	Professional		$264.57	$264.57	$264.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $444.34 / $444.34 / $444.34	Facility		$444.34	$444.34	$444.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $251.00	Professional		$183.23	$183.23	$251.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $936.47 / $2,126.12 / $2,544.05	Facility		$936.47	$2,126.12	$2,544.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,960.55 / $3,031.61 / $3,844.73	Professional		$2,960.55	$3,031.61	$3,844.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $307.44 / $444.34	Facility		$129.38	$307.44	$444.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $399.91 / $444.34	Professional		$129.38	$399.91	$444.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $444.34 / $488.77 / $999.76	Professional		$444.34	$488.77	$999.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $296.89 / $444.34	Facility		$129.38	$296.89	$444.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $258.52	Professional		$183.23	$183.23	$258.52
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $241.50 / $287.50	Professional		$167.00	$241.50	$287.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $240.65 / $444.34	Professional		$235.22	$240.65	$444.34