Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.23 / $360.16 / $367.08	Facility		$353.23	$360.16	$367.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.22 / $367.08 / $664.38	Professional		$344.22	$367.08	$664.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $376.44 / $376.44	Professional		$376.44	$376.44	$376.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $790.98 / $790.98 / $790.98	Facility		$790.98	$790.98	$790.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $494.25	Professional		$360.80	$360.80	$494.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,154.25 / $5,009.54 / $5,009.54	Facility		$4,154.25	$5,009.54	$5,009.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,062.27 / $5,062.27 / $5,932.35	Professional		$5,062.27	$5,062.27	$5,932.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $551.24 / $790.98	Facility		$254.75	$551.24	$790.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $727.70 / $984.48	Professional		$254.75	$727.70	$984.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $605.10 / $790.98 / $1,779.70	Professional		$605.10	$790.98	$1,779.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $528.51 / $790.98	Facility		$254.75	$528.51	$790.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $526.90	Professional		$360.80	$360.80	$526.90
United Facility/Professional Professional Modifier Low / Median / High Price $326.61 / $475.54 / $566.12	Professional		$326.61	$475.54	$566.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.88 / $481.00 / $790.98	Professional		$473.88	$481.00	$790.98