Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $2,754.23	Facility		$389.05	$870.96	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $575.44	Professional		$213.80	$446.68	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $660.69 / $2,691.53	Facility		$199.53	$660.69	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $724.44 / $870.96	Professional		$158.49	$724.44	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,122.02	Facility		$363.08	$602.56	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $660.69	Professional		$338.84	$478.63	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $1,288.25	Professional		$602.56	$645.65	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $1,659.59	Facility		$295.12	$602.56	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $831.76	Professional		$239.88	$602.56	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $251.19 / $602.56	Facility		$213.80	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Professional		$125.89	$125.89	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $602.56 / $602.56	Professional		$117.49	$602.56	$602.56