Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $194.98	Facility		$125.89	$154.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $316.23	Professional		$158.49	$208.93	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $151.36 / $288.40	Facility		$69.18	$151.36	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $257.04	Professional		$128.82	$173.78	$257.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $186.21 / $186.21	Facility		$177.83	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $19,054.61 / $21,877.62	Facility		$54.95	$19,054.61	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $549.54	Professional		$194.98	$323.59	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,548.82	Professional		$1,288.25	$1,548.82	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $501.19	Facility		$177.83	$239.88	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Professional		$165.96	$223.87	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $181.97 / $380.19	Professional		$51.29	$181.97	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $457.09	Facility		$169.82	$234.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,230.27 / $5,011.87	Facility		$162.18	$1,230.27	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $457.09	Professional		$165.96	$257.04	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $229.09	Professional		$181.97	$190.55	$229.09