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 / $7,585.78	Facility		$537.03	$2,454.71	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $467.74	Professional		$208.93	$263.03	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $851.14	Facility		$117.49	$194.98	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $363.08	Professional		$199.53	$257.04	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Facility		$186.21	$186.21	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Facility		$151.36	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $457.09	Professional		$213.80	$288.40	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,479.11	Facility		$54.95	$56.23	$1,479.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,041.74	Professional		$1,737.80	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $3,548.13	Facility		$218.78	$323.59	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $457.09	Professional		$213.80	$288.40	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $162.18 / $204.17	Professional		$32.36	$162.18	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $446.68	Facility		$213.80	$295.12	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $457.09	Professional		$213.80	$288.40	$457.09
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 $177.83 / $234.42 / $346.74	Professional		$177.83	$234.42	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $257.04	Professional		$239.88	$257.04	$257.04