Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $6,918.31	Facility		$537.03	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $371.54	Professional		$93.33	$208.93	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $2,754.23	Facility		$724.44	$1,288.25	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $331.13	Professional		$95.50	$213.80	$331.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,288.25 / $1,288.25	Facility		$91.20	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $426.58	Professional		$112.20	$223.87	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $537.03 / $4,265.80	Facility		$123.03	$537.03	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $478.63	Professional		$97.72	$213.80	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $478.63	Professional		$257.04	$257.04	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $457.09	Facility		$100.00	$234.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $436.52	Professional		$107.15	$218.78	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,778.28 / $4,168.69	Facility		$436.52	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $338.84	Professional		$89.13	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $275.42	Professional		$263.03	$275.42	$275.42