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 $61.66 / $128.82 / $251.19	Professional		$61.66	$128.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $741.31	Facility		$93.33	$162.18	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $208.93	Professional		$58.88	$123.03	$208.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $177.83	Facility		$60.26	$60.26	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $208.93	Facility		$109.65	$162.18	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $295.12	Professional		$70.79	$154.88	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,380.38	Professional		$1,174.90	$1,380.38	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $169.82 / $416.87	Facility		$67.61	$169.82	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $281.84	Professional		$61.66	$131.83	$281.84
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 $177.83 / $269.15 / $489.78	Professional		$177.83	$269.15	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $281.84	Facility		$67.61	$162.18	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $316.23	Professional		$70.79	$158.49	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $114.82 / $199.53	Professional		$58.88	$114.82	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $173.78 / $199.53	Professional		$50.12	$173.78	$199.53