Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $338.84	Professional		$154.88	$194.98	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $1,023.29	Facility		$269.15	$457.09	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $316.23	Professional		$141.25	$194.98	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $416.87	Professional		$190.55	$263.03	$416.87
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 $1,513.56 / $1,737.80 / $1,737.80	Professional		$1,513.56	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $316.23 / $4,073.80	Facility		$186.21	$316.23	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $331.13	Professional		$158.49	$239.88	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $398.11 / $489.78	Professional		$3.98	$398.11	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $467.74	Facility		$173.78	$269.15	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $407.38	Professional		$190.55	$269.15	$407.38
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 $169.82 / $229.09 / $363.08	Professional		$169.82	$229.09	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98