Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $120.23	Facility		$114.82	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $199.53	Professional		$107.15	$131.83	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $208.93 / $208.93	Facility		$79.43	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $436.52	Facility		$69.18	$165.96	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $199.53	Professional		$100.00	$128.82	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $436.52	Facility		$81.28	$208.93	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $295.12	Facility		$109.65	$154.88	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $239.88	Professional		$128.82	$194.98	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93