Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $14,125.38	Facility		$758.58	$1,230.27	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,288.25	Professional		$1,202.26	$1,230.27	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $489.78	Facility		$169.82	$169.82	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $14,454.40 / $14,454.40	Facility		$120.23	$14,454.40	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,258.93 / $2,238.72	Facility		$141.25	$1,258.93	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,202.26 / $1,288.25	Professional		$162.18	$1,202.26	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,412.54 / $2,137.96	Facility		$190.55	$1,412.54	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,258.93	Professional		$125.89	$302.00	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89