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 $67.61 / $83.18 / $131.83	Professional		$67.61	$83.18	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,079.46	Facility		$1,862.09	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $93.33	Professional		$67.61	$72.44	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $186.21	Professional		$75.86	$100.00	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $19,498.45 / $19,498.45	Facility		$6,760.83	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,698.24	Professional		$1,071.52	$1,071.52	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $3,715.35	Facility		$74.13	$144.54	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $123.03	Professional		$67.61	$93.33	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $154.88 / $281.84	Professional		$3.02	$154.88	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $190.55	Facility		$70.79	$100.00	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $181.97	Professional		$75.86	$102.33	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $131.83	Professional		$61.66	$85.11	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $69.18	Professional		$64.57	$69.18	$69.18