Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $321.18	Facility		$318.00	$318.00	$321.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $333.90	Professional		$318.00	$318.00	$333.90
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 $300.00 / $318.00 / $318.00	Facility		$300.00	$318.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,232.50 / $1,637.39 / $2,027.14	Facility		$1,232.50	$1,637.39	$2,027.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,994.29 / $1,994.29 / $1,994.29	Professional		$1,994.29	$1,994.29	$1,994.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $674.16	Facility		$318.00	$318.00	$674.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $397.50	Professional		$318.00	$318.00	$397.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $343.44 / $1,288.90	Professional		$148.10	$343.44	$1,288.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $674.16	Facility		$318.00	$318.00	$674.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $447.10	Professional		$318.00	$318.00	$447.10
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $322.13	Professional		$318.00	$318.00	$322.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $429.30	Professional		$318.00	$318.00	$429.30