Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $512.86	Facility		$128.82	$245.47	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $302.00	Professional		$138.04	$177.83	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,698.24 / $3,235.94	Facility		$602.56	$1,698.24	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $316.23	Professional		$117.49	$144.54	$316.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $213.80	Facility		$204.17	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $251.19 / $512.86	Facility		$109.65	$251.19	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $407.38	Professional		$112.20	$154.88	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $1,905.46	Professional		$1,445.44	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $478.63	Facility		$144.54	$269.15	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $407.38	Professional		$134.90	$245.47	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $446.68	Professional		$104.71	$213.80	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $512.86	Facility		$138.04	$263.03	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $467.74	Professional		$112.20	$154.88	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,230.27 / $1,659.59	Facility		$75.86	$1,230.27	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $457.09	Professional		$138.04	$158.49	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $218.78	Professional		$91.20	$208.93	$218.78