Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $245.47	Professional		$128.82	$151.36	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $239.88 / $562.34	Facility		$194.98	$239.88	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $239.88	Professional		$144.54	$177.83	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $162.18	Facility		$79.43	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $309.03	Professional		$144.54	$190.55	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,348.96	Professional		$1,122.02	$1,348.96	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $2,089.30	Facility		$147.91	$204.17	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $316.23	Professional		$128.82	$208.93	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $281.84	Professional		$177.83	$177.83	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $316.23	Facility		$141.25	$190.55	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $309.03	Professional		$141.25	$194.98	$309.03
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 $112.20 / $151.36 / $229.09	Professional		$112.20	$151.36	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97