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 $177.83 / $245.47 / $758.58	Professional		$177.83	$245.47	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $4,786.30	Facility		$1,412.54	$2,511.89	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $660.69	Professional		$169.82	$323.59	$660.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $537.03	Facility		$173.78	$177.83	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,148.15 / $1,445.44	Facility		$316.23	$1,148.15	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $707.95	Professional		$186.21	$269.15	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $416.87 / $1,995.26	Facility		$186.21	$416.87	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $851.14	Professional		$177.83	$251.19	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $158.49	Professional		$23.99	$32.36	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $398.11 / $1,000.00	Professional		$3.02	$398.11	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $758.58	Facility		$181.97	$281.84	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $758.58	Professional		$186.21	$281.84	$758.58
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 $154.88 / $208.93 / $363.08	Professional		$154.88	$208.93	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $537.03 / $602.56	Professional		$144.54	$537.03	$602.56