Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $478.63	Professional		$125.89	$151.36	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $1,096.48	Facility		$269.15	$524.81	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $239.88	Professional		$120.23	$154.88	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $158.49	Facility		$79.43	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $407.38	Professional		$158.49	$208.93	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $346.74 / $4,365.16	Facility		$141.25	$346.74	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $338.84	Professional		$131.83	$194.98	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $389.05	Professional		$165.96	$288.40	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $416.87	Facility		$131.83	$199.53	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $389.05	Professional		$158.49	$213.80	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $309.03	Professional		$120.23	$162.18	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91