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 $141.25 / $223.87 / $363.08	Professional		$141.25	$223.87	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $1,023.29	Facility		$154.88	$251.19	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $331.13	Professional		$128.82	$204.17	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $223.87	Facility		$125.89	$125.89	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $208.93 / $251.19	Facility		$181.97	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $446.68	Professional		$151.36	$251.19	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,570.40	Facility		$54.95	$56.23	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $1,862.09	Professional		$1,621.81	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $575.44	Facility		$141.25	$251.19	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $354.81	Professional		$138.04	$218.78	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $630.96	Professional		$223.87	$467.74	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $436.52	Facility		$141.25	$245.47	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $478.63	Professional		$151.36	$257.04	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,897.79	Facility		$676.08	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $346.74	Professional		$134.90	$208.93	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $251.19	Professional		$107.15	$223.87	$251.19