Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.59 / $460.98 / $1,101.09	Facility		$443.59	$460.98	$1,101.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.68 / $460.98 / $650.80	Professional		$419.68	$460.98	$650.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.73 / $472.73 / $591.45	Professional		$472.73	$472.73	$591.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $993.31 / $993.31 / $993.31	Facility		$993.31	$993.31	$993.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $551.53	Professional		$402.62	$402.62	$551.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.89 / $4,601.05 / $4,601.05	Facility		$1,659.89	$4,601.05	$4,601.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,974.32 / $4,974.32 / $7,232.93	Professional		$4,974.32	$4,974.32	$7,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $745.73 / $993.31	Facility		$284.27	$745.73	$993.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $913.85 / $993.31	Professional		$284.27	$913.85	$993.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $943.64 / $1,053.71 / $3,804.38	Professional		$943.64	$1,053.71	$3,804.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.27 / $597.17 / $993.31	Facility		$284.27	$597.17	$993.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $568.08	Professional		$402.62	$402.62	$568.08
United Facility/Professional Professional Modifier Low / Median / High Price $366.96 / $530.65 / $631.73	Professional		$366.96	$530.65	$631.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $528.79 / $993.31	Professional		$506.78	$528.79	$993.31