Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $346.74	Professional		$181.97	$204.17	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $8,317.64	Facility		$1,995.26	$4,168.69	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $251.19	Professional		$181.97	$218.78	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $186.21	Facility		$173.78	$173.78	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,819.70 / $2,344.23	Facility		$331.13	$1,819.70	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $436.52	Professional		$190.55	$257.04	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $1,659.59	Professional		$1,445.44	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $1,819.70	Facility		$186.21	$257.04	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $323.59	Professional		$181.97	$208.93	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $501.19	Professional		$234.42	$354.81	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $416.87	Facility		$186.21	$245.47	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $478.63	Professional		$186.21	$263.03	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,981.07 / $8,511.38	Facility		$1,288.25	$3,981.07	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $316.23	Professional		$154.88	$204.17	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $218.78	Professional		$151.36	$181.97	$218.78