Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $1,122.02	Facility		$151.36	$398.11	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $257.04	Professional		$120.23	$169.82	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $1,122.02	Facility		$263.03	$676.08	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $117.49 / $295.12	Professional		$5.01	$117.49	$295.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $302.00	Facility		$213.80	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $436.52 / $954.99	Facility		$144.54	$436.52	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $398.11	Professional		$107.15	$204.17	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,621.81	Professional		$1,071.52	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $616.60	Facility		$151.36	$213.80	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $169.82 / $269.15	Professional		$7.94	$169.82	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $457.09	Professional		$213.80	$234.42	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $776.25	Facility		$151.36	$251.19	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $371.54	Professional		$102.33	$213.80	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $213.80	Facility		$77.62	$89.13	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $147.91	Professional		$89.13	$91.20	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $213.80	Professional		$83.18	$181.97	$213.80