Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $562.34 / $1,949.84	Facility		$223.87	$562.34	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $446.68	Professional		$223.87	$302.00	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $251.19	Professional		$5.01	$5.50	$251.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $371.54	Facility		$79.43	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $1,659.59	Facility		$245.47	$676.08	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $645.65	Professional		$169.82	$251.19	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $2,818.38	Professional		$1,862.09	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $851.14	Facility		$281.84	$371.54	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $302.00 / $467.74	Professional		$7.08	$302.00	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Professional		$316.23	$316.23	$380.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $794.33	Professional		$371.54	$407.38	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $1,096.48	Facility		$263.03	$398.11	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $588.84	Professional		$165.96	$269.15	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $371.54	Facility		$134.90	$158.49	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $257.04	Professional		$158.49	$158.49	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $371.54	Professional		$147.91	$316.23	$371.54