Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $393.60 / $393.60	Facility		$384.00	$393.60	$393.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $393.60 / $408.00	Professional		$384.00	$393.60	$408.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $175.03 / $175.03	Professional		$175.03	$175.03	$175.03
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 $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $960.00 / $1,800.00	Facility		$456.00	$960.00	$1,800.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.00 / $1,824.00 / $2,160.00	Professional		$1,824.00	$1,824.00	$2,160.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.68 / $480.00 / $834.43	Facility		$391.68	$480.00	$834.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.60 / $480.00 / $834.43	Facility		$393.60	$480.00	$834.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $550.79	Professional		$408.00	$408.00	$550.79