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 $194.98 / $316.23 / $524.81	Professional		$194.98	$316.23	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $1,698.24	Facility		$234.42	$398.11	$1,698.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $371.54	Facility		$181.97	$186.21	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $426.58	Facility		$331.13	$338.84	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $602.56	Professional		$199.53	$338.84	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,513.56	Facility		$54.95	$56.23	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $794.33	Facility		$194.98	$346.74	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $549.54	Professional		$190.55	$316.23	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $954.99	Professional		$257.04	$616.60	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $588.84	Facility		$194.98	$331.13	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $645.65	Professional		$199.53	$346.74	$645.65
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 $169.82 / $275.42 / $457.09	Professional		$169.82	$275.42	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $416.87	Professional		$144.54	$363.08	$416.87