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 $114.82 / $134.90 / $257.04	Professional		$114.82	$134.90	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $4,570.88	Facility		$1,288.25	$2,238.72	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $234.42	Professional		$138.04	$173.78	$234.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $154.88	Facility		$79.43	$147.91	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $288.40	Professional		$128.82	$177.83	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $28,840.32 / $28,840.32	Facility		$4,786.30	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,513.56	Professional		$1,348.96	$1,348.96	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $3,715.35	Facility		$131.83	$194.98	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $275.42	Professional		$114.82	$190.55	$275.42
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 $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $288.40	Facility		$128.82	$169.82	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $281.84	Professional		$128.82	$177.83	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $213.80	Professional		$102.33	$138.04	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $162.18	Professional		$147.91	$162.18	$162.18