Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $363.08 / $1,445.44	Facility		$131.83	$363.08	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $229.09 / $363.08	Professional		$38.90	$229.09	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $851.14 / $1,548.82	Facility		$302.00	$851.14	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $165.96 / $239.88	Professional		$5.01	$165.96	$239.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $302.00 / $302.00	Facility		$79.43	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $245.47 / $1,288.25	Facility		$51.29	$245.47	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $138.04 / $457.09	Professional		$28.18	$138.04	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $2,290.87	Professional		$1,513.56	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $275.42 / $562.34	Facility		$67.61	$275.42	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $239.88 / $363.08	Professional		$7.94	$239.88	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $302.00	Professional		$257.04	$257.04	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $645.65	Professional		$295.12	$331.13	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $229.09 / $741.31	Facility		$60.26	$229.09	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $154.88 / $457.09	Professional		$26.92	$154.88	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $125.89 / $302.00	Facility		$31.62	$125.89	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $125.89 / $181.97	Professional		$23.99	$125.89	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $257.04 / $302.00	Professional		$117.49	$257.04	$302.00