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 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $371.54	Professional		$91.20	$234.42	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $263.03	Professional		$85.11	$131.83	$263.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $257.04 / $478.63	Professional		$97.72	$257.04	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $758.58	Facility		$54.95	$56.23	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,089.30	Professional		$1,737.80	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,698.24 / $5,370.32	Facility		$141.25	$1,698.24	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $257.04 / $436.52	Professional		$91.20	$257.04	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $512.86	Professional		$89.13	$218.78	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $234.42 / $467.74	Facility		$87.10	$234.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $257.04 / $457.09	Professional		$97.72	$257.04	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $208.93 / $416.87	Professional		$81.28	$208.93	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47