Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $164.32 / $377.20	Facility		$147.88	$164.32	$377.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $164.32 / $266.63	Professional		$149.61	$164.32	$266.63
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 $168.50 / $168.50 / $168.50	Professional		$168.50	$168.50	$168.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.06 / $354.06 / $354.06	Facility		$354.06	$354.06	$354.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $290.39	Professional		$155.47	$155.47	$290.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $591.76 / $1,640.11 / $1,640.11	Facility		$591.76	$1,640.11	$1,640.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.08 / $1,773.08 / $2,578.35	Professional		$1,773.08	$1,773.08	$2,578.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $265.82 / $354.06	Facility		$101.34	$265.82	$354.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $318.64 / $354.06	Professional		$101.34	$318.64	$354.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $318.64 / $361.14 / $812.57	Professional		$318.64	$361.14	$812.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $212.98 / $354.06	Facility		$101.34	$212.98	$354.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $292.58	Professional		$155.47	$212.98	$292.58
United Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $189.16 / $225.20	Professional		$130.81	$189.16	$225.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $191.64 / $354.06	Professional		$188.50	$191.64	$354.06