Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $676.08	Professional		$354.81	$436.52	$676.08
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 $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $954.99 / $954.99	Facility		$79.43	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,413.10 / $7,413.10	Professional		$6,025.60	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,148.15	Facility		$398.11	$724.44	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $812.83	Professional		$363.08	$446.68	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Professional		$489.78	$489.78	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $1,174.90	Facility		$398.11	$707.95	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $891.25	Facility		$239.88	$380.19	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $549.54	Professional		$316.23	$467.74	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99