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 / $251.19 / $426.58	Professional		$165.96	$251.19	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $218.78 / $812.83	Facility		$128.82	$218.78	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $263.03	Facility		$141.25	$141.25	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $426.58	Professional		$165.96	$257.04	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $3,548.13	Facility		$158.49	$316.23	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $467.74	Professional		$165.96	$263.03	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $416.87	Facility		$151.36	$263.03	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $426.58	Professional		$169.82	$263.03	$426.58
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 $144.54 / $208.93 / $323.59	Professional		$144.54	$208.93	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $263.03	Professional		$251.19	$263.03	$263.03