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 $154.88 / $338.84 / $562.34	Professional		$154.88	$338.84	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $1,659.59	Facility		$257.04	$407.38	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $537.03	Professional		$151.36	$309.03	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
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 $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 $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $467.74 / $3,715.35	Facility		$165.96	$467.74	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $616.60	Professional		$158.49	$371.54	$616.60
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 / $1,023.29	Professional		$3.02	$741.31	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $812.83	Facility		$154.88	$363.08	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $707.95	Professional		$173.78	$371.54	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,778.28 / $4,168.69	Facility		$436.52	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $630.96	Professional		$147.91	$295.12	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $346.74	Professional		$331.13	$346.74	$346.74