Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $208.93	Professional		$107.15	$125.89	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $16,218.10	Facility		$3,548.13	$7,943.28	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $181.97	Professional		$107.15	$134.90	$181.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $117.49	Facility		$107.15	$107.15	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $5,128.61 / $6,025.60	Facility		$199.53	$5,128.61	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $309.03	Professional		$112.20	$162.18	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $23,988.33	Facility		$19,498.45	$19,498.45	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,023.29	Professional		$831.76	$1,023.29	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $1,202.26	Facility		$109.65	$154.88	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Professional		$107.15	$125.89	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $302.00	Professional		$109.65	$234.42	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $263.03	Facility		$109.65	$144.54	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $309.03	Professional		$112.20	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $194.98	Professional		$97.72	$128.82	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $131.83	Professional		$91.20	$117.49	$131.83