Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.49 / $238.07 / $242.65	Facility		$233.49	$238.07	$242.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.92 / $242.65 / $417.01	Professional		$228.92	$242.65	$417.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $248.84 / $248.84	Professional		$248.84	$248.84	$248.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $522.86 / $522.86 / $522.86	Facility		$522.86	$522.86	$522.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,155.17 / $2,832.34 / $3,311.46	Facility		$1,155.17	$2,832.34	$3,311.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,651.93 / $3,739.59 / $4,499.33	Professional		$3,651.93	$3,739.59	$4,499.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $364.38 / $522.86	Facility		$168.40	$364.38	$522.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $476.55 / $617.92	Professional		$168.40	$476.55	$617.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $522.86 / $575.15 / $1,176.43	Professional		$522.86	$575.15	$1,176.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $364.38 / $522.86	Facility		$168.40	$364.38	$522.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $384.55	Professional		$272.55	$272.55	$384.55
United Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $314.33 / $374.22	Professional		$217.38	$314.33	$374.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $319.93 / $522.86	Professional		$313.25	$319.93	$522.86