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 $186.21 / $288.40 / $478.63	Professional		$186.21	$288.40	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $1,698.24	Facility		$234.42	$380.19	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $380.19	Professional		$177.83	$275.42	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $309.03	Facility		$181.97	$186.21	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $1,659.59	Facility		$295.12	$323.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $524.81	Professional		$181.97	$302.00	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,137.96	Facility		$54.95	$56.23	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,570.40	Professional		$2,187.76	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $707.95	Facility		$181.97	$309.03	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $537.03 / $870.96	Professional		$131.83	$537.03	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $524.81	Facility		$173.78	$288.40	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $562.34	Professional		$186.21	$309.03	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $398.11	Professional		$158.49	$239.88	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $346.74	Professional		$147.91	$302.00	$346.74