Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $7,413.10	Facility		$707.95	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $758.58	Professional		$229.09	$407.38	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $933.25	Facility		$269.15	$467.74	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $398.11	Professional		$199.53	$257.04	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $275.42	Facility		$181.97	$181.97	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $870.96	Professional		$239.88	$549.54	$870.96
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 $2,818.38 / $2,818.38 / $3,090.30	Professional		$2,818.38	$2,818.38	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $588.84 / $3,801.89	Facility		$229.09	$588.84	$3,801.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $660.69	Professional		$223.87	$338.84	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $562.34	Professional		$194.98	$346.74	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $446.68 / $870.96	Facility		$229.09	$446.68	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $870.96	Professional		$239.88	$549.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $741.31	Professional		$371.54	$512.86	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Professional		$257.04	$269.15	$269.15