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 $141.25 / $177.83 / $562.34	Professional		$141.25	$177.83	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $630.96	Facility		$165.96	$295.12	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $281.84	Professional		$134.90	$186.21	$281.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $177.83	Facility		$79.43	$169.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $478.63	Professional		$177.83	$239.88	$478.63
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 $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $416.87 / $4,365.16	Facility		$158.49	$416.87	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $316.23	Professional		$147.91	$218.78	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $144.54	Professional		$23.44	$32.36	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $446.68	Professional		$186.21	$331.13	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $467.74	Facility		$151.36	$223.87	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $457.09	Professional		$177.83	$245.47	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $371.54	Professional		$138.04	$186.21	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82