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 $47.86 / $112.20 / $194.98	Professional		$47.86	$112.20	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $4,265.80	Facility		$1,023.29	$1,862.09	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $181.97	Professional		$47.86	$89.13	$181.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $128.82	Facility		$45.71	$45.71	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $257.04	Professional		$53.70	$114.82	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,365.16	Facility		$54.95	$56.23	$4,365.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,548.13	Professional		$2,041.74	$2,041.74	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $138.04 / $741.31	Facility		$50.12	$138.04	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $229.09	Professional		$47.86	$114.82	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $229.09 / $524.81	Professional		$5.01	$229.09	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $125.89 / $302.00	Facility		$48.98	$125.89	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $257.04	Professional		$53.70	$112.20	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $239.88	Professional		$47.86	$97.72	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $154.88	Professional		$123.03	$128.82	$154.88