Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $559.47	Facility		$553.94	$553.94	$559.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $570.54	Professional		$553.94	$553.94	$570.54
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 $522.58 / $553.94 / $553.94	Facility		$522.58	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.50 / $1,250.00 / $2,500.00	Facility		$1,062.50	$1,250.00	$2,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.51 / $2,321.37 / $4,750.00	Professional		$1,805.51	$2,321.37	$4,750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $553.94 / $1,174.34	Facility		$194.83	$553.94	$1,174.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $914.00	Professional		$553.94	$553.94	$914.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $574.04 / $1,037.66	Professional		$148.10	$574.04	$1,037.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.94 / $553.94 / $1,172.10	Facility		$553.94	$553.94	$1,172.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $600.97	Professional		$553.94	$553.94	$600.97
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $561.14	Professional		$553.94	$553.94	$561.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $553.92 / $747.81	Professional		$255.14	$553.92	$747.81