Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $6,918.31	Facility		$537.03	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $269.15	Professional		$125.89	$169.82	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $4,365.16	Facility		$1,288.25	$2,187.76	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $239.88	Professional		$123.03	$165.96	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $120.23	Facility		$79.43	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $338.84	Professional		$144.54	$208.93	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,445.44	Professional		$1,258.93	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $2,089.30	Facility		$134.90	$208.93	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $309.03	Professional		$125.89	$181.97	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $154.88	Professional		$32.36	$112.20	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $660.69	Professional		$204.17	$457.09	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $331.13	Facility		$134.90	$194.98	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $338.84	Professional		$138.04	$208.93	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $257.04	Professional		$117.49	$162.18	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83