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 $213.80 / $331.13 / $524.81	Professional		$213.80	$331.13	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $1,023.29	Facility		$194.98	$338.84	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $457.09	Professional		$213.80	$323.59	$457.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $363.08	Facility		$194.98	$199.53	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $323.59 / $2,511.89	Facility		$269.15	$323.59	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $616.60	Professional		$234.42	$363.08	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,548.82	Facility		$54.95	$56.23	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Professional		$2,511.89	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $831.76	Facility		$223.87	$380.19	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $575.44	Professional		$213.80	$323.59	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $933.25	Professional		$316.23	$630.96	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $645.65	Facility		$223.87	$363.08	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $645.65	Professional		$229.09	$363.08	$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 $199.53 / $302.00 / $478.63	Professional		$199.53	$302.00	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $407.38	Professional		$165.96	$363.08	$407.38