Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $12,022.64	Facility		$812.83	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $512.86	Professional		$199.53	$316.23	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $912.01	Facility		$213.80	$338.84	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $309.03	Facility		$173.78	$173.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Facility		$275.42	$275.42	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $549.54	Professional		$208.93	$323.59	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,380.38	Facility		$54.95	$56.23	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,311.31	Professional		$2,511.89	$2,511.89	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $4,073.80	Facility		$199.53	$389.05	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $257.04	Professional		$32.36	$169.82	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $363.08	Professional		$194.98	$295.12	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $537.03	Facility		$190.55	$331.13	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $549.54	Professional		$204.17	$323.59	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $8,709.64	Facility		$1,258.93	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $416.87	Professional		$177.83	$269.15	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03