Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,715.35 / $12,302.69	Facility		$794.33	$3,715.35	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $109.65	Professional		$42.66	$70.79	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $125.89	Professional		$45.71	$75.86	$125.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $147.91	Professional		$51.29	$87.10	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $691.83	Professional		$588.84	$691.83	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $2,511.89	Facility		$48.98	$93.33	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $147.91	Professional		$45.71	$74.13	$147.91
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 $114.82 / $162.18 / $213.80	Professional		$114.82	$162.18	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $154.88	Facility		$46.77	$85.11	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $147.91	Professional		$51.29	$87.10	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $117.49	Professional		$43.65	$70.79	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11