Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $616.60	Professional		$245.47	$380.19	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $8,317.64	Facility		$2,344.23	$4,365.16	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $489.78	Professional		$239.88	$354.81	$489.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $239.88 / $239.88	Facility		$79.43	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $776.25	Professional		$288.40	$467.74	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,235.94	Professional		$2,818.38	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $2,454.71	Facility		$269.15	$457.09	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $660.69	Professional		$251.19	$398.11	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $870.96	Professional		$524.81	$524.81	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $724.44	Facility		$269.15	$436.52	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $794.33	Professional		$275.42	$467.74	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $616.60	Professional		$251.19	$389.05	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $389.05	Professional		$363.08	$389.05	$389.05