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 $107.15 / $169.82 / $269.15	Professional		$107.15	$169.82	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $275.42	Professional		$104.71	$165.96	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $97.72 / $177.83	Facility		$95.50	$97.72	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $151.36 / $181.97	Facility		$123.03	$151.36	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $323.59	Professional		$114.82	$186.21	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,479.11	Professional		$1,288.25	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $186.21 / $446.68	Facility		$109.65	$186.21	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $275.42	Professional		$107.15	$165.96	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $478.63	Professional		$151.36	$346.74	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $316.23	Facility		$109.65	$181.97	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $338.84	Professional		$114.82	$186.21	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $245.47	Professional		$97.72	$154.88	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $199.53	Professional		$83.18	$177.83	$199.53