Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $426.58 / $1,348.96	Facility		$173.78	$426.58	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $309.03	Professional		$154.88	$208.93	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $4,265.80	Facility		$912.01	$1,174.90	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $144.54 / $173.78	Professional		$5.01	$144.54	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $263.03 / $263.03	Facility		$79.43	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $1,148.15	Facility		$169.82	$199.53	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $467.74	Professional		$131.83	$263.03	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $1,949.84	Professional		$1,288.25	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Facility		$186.21	$251.19	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $208.93 / $309.03	Professional		$7.94	$208.93	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $194.98	Professional		$30.20	$30.20	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $549.54	Professional		$263.03	$281.84	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $588.84	Facility		$181.97	$263.03	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $457.09	Professional		$131.83	$251.19	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $263.03	Facility		$93.33	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $234.42	Professional		$109.65	$109.65	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $263.03 / $263.03	Professional		$102.33	$263.03	$263.03