Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $2,570.40	Facility		$630.96	$1,122.02	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,148.15 / $1,995.26	Facility		$562.34	$1,148.15	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $309.03 / $346.74	Professional		$112.20	$309.03	$346.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $426.58	Facility		$346.74	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $691.83 / $1,584.89	Facility		$234.42	$691.83	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,148.15	Professional		$346.74	$524.81	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $549.54 / $1,122.02	Facility		$371.54	$549.54	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $912.01	Professional		$371.54	$512.86	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,174.90	Professional		$676.08	$1,023.29	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,174.90	Facility		$371.54	$588.84	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,096.48	Professional		$346.74	$524.81	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,148.15	Facility		$436.52	$870.96	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,000.00	Professional		$371.54	$537.03	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $457.09	Professional		$363.08	$380.19	$457.09