Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,467.37 / $11,748.98	Facility		$831.76	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $501.19	Professional		$245.47	$302.00	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,332.54	Facility		$2,630.27	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $275.42	Professional		$239.88	$245.47	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $562.34	Professional		$263.03	$346.74	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $45,708.82 / $45,708.82	Facility		$9,332.54	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $2,187.76	Professional		$1,905.46	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $575.44 / $4,786.30	Facility		$251.19	$575.44	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $426.58	Professional		$251.19	$323.59	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $501.19 / $645.65	Professional		$3.02	$501.19	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $616.60	Facility		$239.88	$354.81	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $549.54	Professional		$263.03	$354.81	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $467.74	Professional		$223.87	$302.00	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $239.88	Professional		$223.87	$239.88	$239.88