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 $162.18 / $199.53 / $316.23	Professional		$162.18	$199.53	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $660.69	Facility		$100.00	$165.96	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $288.40	Professional		$165.96	$204.17	$288.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $165.96	Facility		$79.43	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $407.38	Professional		$181.97	$251.19	$407.38
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 $1,479.11 / $1,698.24 / $1,698.24	Professional		$1,479.11	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $2,187.76	Facility		$177.83	$257.04	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $346.74	Professional		$165.96	$229.09	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $147.91 / $177.83	Professional		$32.36	$147.91	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $630.96 / $724.44	Professional		$234.42	$630.96	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $398.11	Facility		$177.83	$239.88	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $407.38	Professional		$181.97	$251.19	$407.38
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 $151.36 / $199.53 / $309.03	Professional		$151.36	$199.53	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $199.53	Professional		$190.55	$199.53	$199.53