Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $457.09 / $1,479.11	Facility		$204.17	$457.09	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $371.54	Professional		$107.15	$234.42	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $204.17	Professional		$5.01	$5.50	$204.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $309.03 / $309.03	Facility		$79.43	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $512.86 / $1,318.26	Facility		$112.20	$512.86	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $575.44	Professional		$91.20	$295.12	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $2,290.87	Professional		$1,548.82	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $575.44	Facility		$204.17	$309.03	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $245.47 / $371.54	Professional		$7.08	$245.47	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $660.69	Professional		$309.03	$331.13	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $870.96	Facility		$173.78	$316.23	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $537.03	Professional		$125.89	$295.12	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $309.03	Facility		$89.13	$128.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $186.21	Professional		$67.61	$128.82	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $309.03	Professional		$120.23	$257.04	$309.03