Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.08 / $188.71 / $192.34	Facility		$185.08	$188.71	$192.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $192.34 / $304.60	Professional		$174.19	$192.34	$304.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $246.77 / $246.77	Professional		$246.77	$246.77	$246.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $414.44 / $414.44 / $414.44	Facility		$414.44	$414.44	$414.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $178.04	Professional		$178.04	$178.04	$178.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $765.39 / $1,827.68 / $2,250.98	Facility		$765.39	$1,827.68	$2,250.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.67 / $2,325.73 / $2,665.58	Professional		$2,274.67	$2,325.73	$2,665.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $280.24 / $414.44	Facility		$114.47	$280.24	$414.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $373.00 / $414.44	Professional		$114.47	$373.00	$414.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $414.44 / $455.88 / $932.49	Professional		$414.44	$455.88	$932.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $276.91 / $414.44	Facility		$114.47	$276.91	$414.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $324.01	Professional		$178.04	$178.04	$324.01
United Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $213.67 / $254.37	Professional		$147.76	$213.67	$254.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $216.46 / $414.44	Professional		$212.93	$216.46	$414.44