Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $3,090.30 / $6,456.54	Facility		$81.28	$3,090.30	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $144.54	Professional		$72.44	$85.11	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $4,466.84	Facility		$1,202.26	$2,187.76	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $120.23	Professional		$66.07	$77.62	$120.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,011.87	Facility		$54.95	$56.23	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $194.98	Facility		$70.79	$104.71	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $123.03	Professional		$74.13	$93.33	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $213.80	Professional		$107.15	$173.78	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $190.55	Facility		$70.79	$107.15	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $223.87	Professional		$66.07	$120.23	$223.87
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 $67.61 / $91.20 / $144.54	Professional		$67.61	$91.20	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18