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 $72.44 / $109.65 / $208.93	Professional		$72.44	$109.65	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $562.34	Facility		$66.07	$114.82	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $154.88	Professional		$72.44	$109.65	$154.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Facility		$70.79	$70.79	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $208.93	Professional		$83.18	$125.89	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $489.78	Facility		$54.95	$56.23	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,000.00	Professional		$851.14	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $2,951.21	Facility		$79.43	$144.54	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $223.87	Professional		$74.13	$117.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $100.00	Professional		$32.36	$64.57	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $204.17	Professional		$112.20	$112.20	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $208.93	Facility		$77.62	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $204.17	Professional		$81.28	$125.89	$204.17
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 $67.61 / $97.72 / $154.88	Professional		$67.61	$97.72	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89