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 $46.77 / $141.25 / $309.03	Professional		$46.77	$141.25	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $144.54 / $257.04	Professional		$46.77	$144.54	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $79.43	Facility		$42.66	$42.66	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $169.82 / $338.84	Professional		$56.23	$169.82	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,344.23	Professional		$1,737.80	$1,737.80	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $208.93 / $1,995.26	Facility		$50.12	$208.93	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $141.25 / $363.08	Professional		$47.86	$141.25	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $181.97	Professional		$32.36	$42.66	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Professional		$389.05	$389.05	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $173.78 / $380.19	Facility		$50.12	$173.78	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $151.36 / $346.74	Professional		$54.95	$151.36	$346.74
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 $46.77 / $125.89 / $257.04	Professional		$46.77	$125.89	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $208.93	Professional		$199.53	$208.93	$208.93