Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Facility		$349.02	$349.02	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $378.13	Professional		$349.02	$349.02	$378.13
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 $8.18 / $8.18 / $8.18	Professional		$8.18	$8.18	$8.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $349.01 / $349.01	Facility		$329.26	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $1,215.00 / $1,423.99	Facility		$688.50	$1,215.00	$1,423.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.00 / $2,835.00 / $2,835.00	Professional		$2,835.00	$2,835.00	$2,835.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.51 / $356.55 / $739.92	Facility		$352.51	$356.55	$739.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $436.28	Professional		$349.02	$349.02	$436.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $376.94 / $772.90	Professional		$148.10	$376.94	$772.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.02 / $739.92	Facility		$349.01	$349.02	$739.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $429.39	Professional		$349.01	$349.01	$429.39
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $353.56	Professional		$349.02	$349.02	$353.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.51 / $349.02 / $471.18	Professional		$343.51	$349.02	$471.18