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 $128.82 / $269.15 / $489.78	Professional		$128.82	$269.15	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $426.58	Professional		$123.03	$245.47	$426.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $295.12	Facility		$109.65	$109.65	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Facility		$269.15	$269.15	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $467.74	Professional		$138.04	$281.84	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,862.09	Facility		$54.95	$56.23	$1,862.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,951.21	Professional		$2,454.71	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $354.81 / $3,548.13	Facility		$128.82	$354.81	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $524.81	Professional		$128.82	$288.40	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $251.19	Professional		$32.36	$117.49	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $478.63	Facility		$128.82	$281.84	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $467.74	Professional		$134.90	$281.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $371.54	Professional		$114.82	$218.78	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $295.12	Professional		$281.84	$295.12	$295.12