Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $12,022.64	Facility		$831.76	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $323.59	Professional		$181.97	$218.78	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $16,595.87	Facility		$3,890.45	$8,709.64	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $323.59	Professional		$169.82	$194.98	$323.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $467.74	Professional		$190.55	$275.42	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $812.83 / $5,623.41	Facility		$186.21	$812.83	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $309.03	Professional		$186.21	$239.88	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $478.63 / $524.81	Professional		$6.03	$478.63	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $446.68	Facility		$173.78	$245.47	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $446.68	Professional		$190.55	$275.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $371.54	Professional		$162.18	$234.42	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Professional		$165.96	$173.78	$173.78