Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.74 / $292.74 / $316.16	Facility		$292.74	$292.74	$316.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $316.13 / $585.48	Professional		$263.36	$316.13	$585.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $398.13 / $398.13	Professional		$398.13	$398.13	$398.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $668.64 / $668.64 / $668.64	Facility		$668.64	$668.64	$668.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $344.22	Facility		$344.22	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $344.22	Professional		$251.28	$251.28	$344.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $949.47 / $2,561.73 / $2,561.73	Facility		$949.47	$2,561.73	$2,561.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,309.77 / $3,309.77 / $3,761.10	Professional		$3,309.77	$3,309.77	$3,761.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $465.98 / $668.64	Facility		$161.51	$465.98	$668.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $601.78 / $668.64	Professional		$163.34	$601.78	$668.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $511.51 / $682.01 / $1,504.44	Professional		$511.51	$682.01	$1,504.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.51 / $446.77 / $668.64	Facility		$161.51	$446.77	$668.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $354.55	Professional		$251.28	$251.28	$354.55
United Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $308.42 / $385.52	Professional		$208.49	$308.42	$385.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $304.95 / $668.64	Professional		$303.45	$304.95	$668.64