Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $1,174.90	Facility		$89.13	$107.15	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $229.09	Professional		$93.33	$123.03	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $12,022.64	Facility		$3,019.95	$7,413.10	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $158.49	Professional		$70.79	$120.23	$158.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $131.83	Facility		$120.23	$120.23	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $8,709.64	Facility		$213.80	$426.58	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $575.44	Professional		$107.15	$181.97	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $162.18 / $309.03	Facility		$107.15	$162.18	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $263.03	Professional		$95.50	$134.90	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $1,000.00	Professional		$223.87	$346.74	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $741.31	Facility		$114.82	$229.09	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $457.09	Professional		$109.65	$181.97	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $6,606.93	Facility		$2,511.89	$5,011.87	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $371.54	Professional		$123.03	$169.82	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $151.36	Professional		$120.23	$125.89	$151.36