Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $381.84 / $389.18	Facility		$367.15	$381.84	$389.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.30 / $389.18 / $631.50	Professional		$368.30	$389.18	$631.50
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 $399.09 / $399.09 / $499.32	Professional		$399.09	$399.09	$499.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $838.58 / $838.58 / $838.58	Facility		$838.58	$838.58	$838.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.51 / $579.51 / $579.51	Facility		$579.51	$579.51	$579.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $423.04 / $768.00	Professional		$423.04	$423.04	$768.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,743.28 / $4,930.17 / $4,930.17	Facility		$1,743.28	$4,930.17	$4,930.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,982.06 / $4,982.06 / $7,784.18	Professional		$4,982.06	$4,982.06	$7,784.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $630.20 / $1,000.12	Facility		$262.32	$630.20	$1,000.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.32 / $754.72 / $888.43	Professional		$262.32	$754.72	$888.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $754.72 / $838.58 / $1,924.54	Professional		$754.72	$838.58	$1,924.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.32 / $579.51 / $1,000.12	Facility		$262.32	$579.51	$1,000.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $579.51 / $773.76	Professional		$423.04	$579.51	$773.76
United Facility/Professional Professional Modifier Low / Median / High Price $338.61 / $500.92 / $602.50	Professional		$338.61	$500.92	$602.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $487.95 / $496.06 / $838.58	Professional		$487.95	$496.06	$838.58