Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $288.40	Professional		$158.49	$181.97	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $257.04	Professional		$151.36	$194.98	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Facility		$147.91	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $2,511.89	Facility		$288.40	$288.40	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $363.08	Professional		$165.96	$223.87	$363.08
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 $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $512.86	Facility		$158.49	$218.78	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $269.15	Professional		$154.88	$181.97	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $416.87	Professional		$263.03	$323.59	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $371.54	Facility		$158.49	$213.80	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $416.87	Professional		$162.18	$229.09	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,047.13 / $2,691.53	Facility		$144.54	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $281.84	Professional		$141.25	$186.21	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $186.21	Professional		$128.82	$162.18	$186.21