Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $245.47	Professional		$91.20	$151.36	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $2,137.96	Facility		$588.84	$1,023.29	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $199.53	Professional		$91.20	$144.54	$199.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $87.10 / $87.10	Facility		$79.43	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $302.00	Professional		$109.65	$177.83	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,318.26	Professional		$1,148.15	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $446.68 / $4,265.80	Facility		$117.49	$446.68	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $295.12	Professional		$95.50	$154.88	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $295.12	Facility		$93.33	$165.96	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $309.03	Professional		$107.15	$177.83	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $4,168.69	Facility		$436.52	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $245.47	Professional		$89.13	$144.54	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $165.96	Professional		$158.49	$165.96	$165.96