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 $177.83 / $218.78 / $354.81	Professional		$177.83	$218.78	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $316.23	Professional		$190.55	$239.88	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $194.98	Facility		$79.43	$181.97	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $426.58	Professional		$204.17	$281.84	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $5,011.87	Facility		$3,235.94	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $2,951.21	Facility		$190.55	$275.42	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $338.84	Professional		$177.83	$245.47	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $173.78	Professional		$26.30	$32.36	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $380.19	Professional		$263.03	$263.03	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $478.63	Facility		$190.55	$263.03	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $457.09	Professional		$194.98	$281.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $338.84	Professional		$165.96	$218.78	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $204.17	Professional		$181.97	$204.17	$204.17