Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $6,918.31	Facility		$537.03	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $630.96	Professional		$251.19	$380.19	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $1,862.09	Facility		$162.18	$281.84	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $436.52	Professional		$234.42	$295.12	$436.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $302.00	Facility		$208.93	$208.93	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $912.01	Professional		$269.15	$380.19	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $19,498.45 / $19,498.45	Facility		$2,041.74	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,630.78	Professional		$3,162.28	$3,162.28	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $588.84 / $3,467.37	Facility		$257.04	$588.84	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $537.03	Professional		$251.19	$346.74	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $616.60	Professional		$223.87	$398.11	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $954.99	Facility		$257.04	$426.58	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $912.01	Professional		$263.03	$380.19	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $707.95	Professional		$223.87	$363.08	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $302.00	Professional		$288.40	$302.00	$302.00