Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Facility		$461.36	$461.36	$465.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $475.20	Professional		$461.36	$461.36	$475.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
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 $435.24 / $461.36 / $461.36	Facility		$435.24	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $2,300.41 / $3,171.34	Facility		$1,417.80	$2,300.41	$3,171.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.01 / $3,610.00 / $3,975.44	Professional		$3,092.01	$3,610.00	$3,975.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $461.36 / $978.08	Facility		$330.31	$461.36	$978.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $576.70	Professional		$461.36	$461.36	$576.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $1,545.13	Professional		$148.10	$302.94	$1,545.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $978.08	Facility		$461.36	$461.36	$978.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $651.29	Professional		$461.36	$461.36	$651.29
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $467.36	Professional		$461.36	$461.36	$467.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $461.36 / $622.84	Professional		$330.31	$461.36	$622.84