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 $165.96 / $309.03 / $537.03	Professional		$165.96	$309.03	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $1,513.56	Facility		$229.09	$371.54	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $489.78	Professional		$154.88	$288.40	$489.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $331.13	Facility		$138.04	$138.04	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Facility		$288.40	$288.40	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $537.03	Professional		$173.78	$323.59	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $3,548.13	Facility		$162.18	$398.11	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $575.44	Professional		$165.96	$323.59	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $537.03	Facility		$158.49	$323.59	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $537.03	Professional		$173.78	$331.13	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $4,168.69	Facility		$407.38	$1,698.24	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $416.87	Professional		$144.54	$257.04	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $331.13	Professional		$316.23	$331.13	$331.13