Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $453.90	Facility		$449.41	$449.41	$453.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $489.85	Professional		$449.41	$449.41	$489.85
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 $423.97 / $449.41 / $449.41	Facility		$423.97	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,709.11 / $2,870.93	Facility		$1,380.00	$2,709.11	$2,870.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.11 / $2,709.11 / $2,709.11	Professional		$2,709.11	$2,709.11	$2,709.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $483.65 / $952.75	Facility		$453.90	$483.65	$952.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $561.76	Professional		$449.41	$449.41	$561.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $485.36 / $1,432.43	Professional		$148.10	$485.36	$1,432.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $952.75	Facility		$449.41	$449.41	$952.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $593.55	Professional		$449.41	$449.41	$593.55
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $455.25	Professional		$449.41	$449.41	$455.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $483.65 / $613.60	Professional		$449.41	$483.65	$613.60