Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $478.63 / $1,202.26	Facility		$177.83	$478.63	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $309.03	Professional		$158.49	$204.17	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $141.25	Professional		$5.01	$5.50	$141.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $257.04	Facility		$79.43	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $562.34 / $1,148.15	Facility		$181.97	$562.34	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $467.74	Professional		$128.82	$245.47	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $1,905.46	Professional		$1,288.25	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $489.78	Facility		$190.55	$257.04	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $204.17 / $309.03	Professional		$7.08	$204.17	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $933.25	Facility		$181.97	$281.84	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $446.68	Professional		$128.82	$263.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $257.04	Facility		$91.20	$107.15	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $173.78	Professional		$83.18	$107.15	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $257.04	Professional		$100.00	$213.80	$257.04