Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $549.54	Professional		$158.49	$338.84	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $1,949.84	Facility		$562.34	$933.25	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $380.19	Professional		$151.36	$194.98	$380.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $691.83	Professional		$181.97	$371.54	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,019.95	Professional		$2,951.21	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $489.78 / $3,715.35	Facility		$177.83	$489.78	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $660.69	Professional		$162.18	$371.54	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $741.31 / $1,047.13	Professional		$3.02	$741.31	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $380.19 / $758.58	Facility		$165.96	$380.19	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $676.08	Professional		$181.97	$371.54	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,659.59 / $4,168.69	Facility		$436.52	$1,659.59	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $616.60	Professional		$151.36	$302.00	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Professional		$346.74	$371.54	$371.54