Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $17,378.01	Facility		$131.83	$151.36	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $169.82	Professional		$97.72	$131.83	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.13 / $31.62	Facility		$9.55	$14.13	$31.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $18,197.01 / $18,197.01	Facility		$120.23	$18,197.01	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $1,995.26	Professional		$1,659.59	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $263.03	Facility		$102.33	$144.54	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $223.87	Professional		$107.15	$147.91	$223.87
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 $109.65 / $151.36 / $295.12	Facility		$109.65	$151.36	$295.12
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 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89