Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $316.23	Professional		$154.88	$190.55	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $3,981.07	Facility		$891.25	$1,949.84	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $275.42	Professional		$162.18	$190.55	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $158.49	Facility		$79.43	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $389.05	Professional		$173.78	$245.47	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $3,715.35	Facility		$162.18	$263.03	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $281.84	Professional		$154.88	$208.93	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $389.05	Facility		$162.18	$229.09	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $389.05	Professional		$165.96	$245.47	$389.05
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 $144.54 / $190.55 / $302.00	Professional		$144.54	$190.55	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Professional		$151.36	$162.18	$162.18