Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $2,290.87	Facility		$331.13	$812.83	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $1,445.44	Professional		$275.42	$380.19	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,659.59 / $4,168.69	Facility		$512.86	$1,659.59	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $331.13 / $812.83	Professional		$5.01	$331.13	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $436.52 / $1,318.26	Facility		$79.43	$436.52	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $912.01 / $2,344.23	Facility		$407.38	$912.01	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $616.60 / $1,905.46	Professional		$234.42	$616.60	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $9,772.37	Professional		$6,456.54	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $1,584.89	Facility		$275.42	$416.87	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $354.81 / $1,318.26	Professional		$7.94	$354.81	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,754.23	Professional		$1,318.26	$1,412.54	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $912.01 / $2,137.96	Facility		$275.42	$912.01	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $602.56 / $1,905.46	Professional		$234.42	$602.56	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $1,318.26	Facility		$302.00	$549.54	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $602.56	Professional		$186.21	$251.19	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,318.26 / $1,318.26	Professional		$169.82	$1,318.26	$1,318.26