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 $218.78 / $257.04 / $398.11	Professional		$218.78	$257.04	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $363.08	Professional		$213.80	$269.15	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Facility		$208.93	$208.93	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $2,511.89	Facility		$398.11	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $501.19	Professional		$229.09	$309.03	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,445.44	Facility		$54.95	$56.23	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $1,995.26	Professional		$1,659.59	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $302.00 / $707.95	Facility		$218.78	$302.00	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $380.19	Professional		$213.80	$251.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $194.98	Professional		$30.20	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $575.44	Professional		$245.47	$446.68	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $512.86	Facility		$218.78	$295.12	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $575.44	Professional		$223.87	$316.23	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $389.05	Professional		$190.55	$257.04	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $257.04	Professional		$190.55	$223.87	$257.04