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 $194.98 / $229.09 / $371.54	Professional		$194.98	$229.09	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $2,511.89	Facility		$660.69	$1,230.27	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $354.81	Professional		$194.98	$245.47	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Facility		$204.17	$204.17	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $1,023.29	Facility		$363.08	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $446.68	Professional		$181.97	$275.42	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,862.09	Professional		$1,513.56	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $1,202.26	Facility		$194.98	$269.15	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $380.19	Professional		$194.98	$229.09	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $398.11 / $549.54	Professional		$123.03	$398.11	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $446.68	Facility		$190.55	$251.19	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $501.19	Professional		$186.21	$281.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,073.80	Facility		$416.87	$1,621.81	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Professional		$165.96	$223.87	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $257.04	Professional		$162.18	$223.87	$257.04