Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $144.54	Professional		$75.86	$89.13	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $954.99	Facility		$83.18	$141.25	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $165.96	Professional		$70.79	$97.72	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $194.98	Professional		$79.43	$114.82	$194.98
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 $616.60 / $630.96 / $630.96	Professional		$616.60	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $3,715.35	Facility		$79.43	$173.78	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $128.82	Professional		$77.62	$97.72	$128.82
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 / $190.55 / $208.93	Professional		$6.03	$190.55	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $199.53	Facility		$77.62	$125.89	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $190.55	Professional		$79.43	$114.82	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $147.91	Professional		$69.18	$95.50	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $72.44	Professional		$69.18	$72.44	$72.44