Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $263.03	Professional		$144.54	$169.82	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $354.81 / $354.81	Facility		$79.43	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $2,511.89	Professional		$1,737.80	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $331.13 / $512.86	Facility		$114.82	$331.13	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $346.74	Professional		$154.88	$173.78	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $501.19	Facility		$147.91	$275.42	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $354.81	Facility		$97.72	$154.88	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $218.78	Professional		$128.82	$186.21	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81