Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,019.95 / $7,585.78	Facility		$707.95	$3,019.95	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $691.83	Professional		$281.84	$426.58	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $1,737.80	Facility		$269.15	$446.68	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $562.34	Professional		$281.84	$407.38	$562.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $281.84 / $281.84	Facility		$79.43	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $831.76	Professional		$323.59	$512.86	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,949.84	Facility		$54.95	$56.23	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,715.35	Professional		$3,235.94	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $2,454.71	Facility		$316.23	$512.86	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $707.95	Professional		$269.15	$398.11	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $380.19	Professional		$32.36	$251.19	$380.19
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 $316.23 / $489.78 / $812.83	Facility		$316.23	$489.78	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $831.76	Professional		$316.23	$512.86	$831.76
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 $269.15 / $398.11 / $630.96	Professional		$269.15	$398.11	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $446.68	Professional		$426.58	$446.68	$446.68