Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $537.03	Facility		$234.42	$446.68	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $302.00	Professional		$234.42	$234.42	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,760.83 / $13,489.63	Facility		$2,754.23	$6,760.83	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $234.42 / $234.42	Facility		$79.43	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $371.54	Facility		$218.78	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $2,398.83	Facility		$177.83	$239.88	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $288.40	Professional		$234.42	$234.42	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $295.12	Professional		$173.78	$208.93	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $323.59 / $2,454.71	Professional		$30.20	$323.59	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $2,344.23	Facility		$177.83	$239.88	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $309.03	Professional		$239.88	$239.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Facility		$234.42	$234.42	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $257.04	Professional		$234.42	$245.47	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $288.40	Professional		$234.42	$234.42	$288.40