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 $100.00 / $125.89 / $204.17	Professional		$100.00	$125.89	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,981.07	Facility		$891.25	$2,511.89	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $177.83	Professional		$104.71	$131.83	$177.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $100.00	Facility		$79.43	$97.72	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $251.19	Professional		$117.49	$162.18	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $28,840.32 / $28,840.32	Facility		$2,238.72	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $3,019.95	Professional		$977.24	$977.24	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $3,715.35	Facility		$104.71	$173.78	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $177.83	Professional		$100.00	$134.90	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $95.50	Professional		$14.79	$32.36	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Professional		$158.49	$158.49	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $257.04	Facility		$104.71	$154.88	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19
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 $97.72 / $125.89 / $199.53	Professional		$97.72	$125.89	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Professional		$95.50	$104.71	$104.71