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 $213.80 / $275.42 / $478.63	Professional		$213.80	$275.42	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $407.38	Professional		$245.47	$263.03	$407.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,137.96	Facility		$54.95	$56.23	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $4,073.80	Facility		$251.19	$426.58	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $446.68	Professional		$218.78	$323.59	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $549.54 / $676.08	Professional		$6.03	$549.54	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $660.69	Facility		$239.88	$371.54	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $575.44	Professional		$269.15	$371.54	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $489.78	Professional		$229.09	$316.23	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $269.15	Professional		$239.88	$269.15	$269.15