Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $295.12	Facility		$245.47	$281.84	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $467.74	Professional		$257.04	$302.00	$467.74
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 $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Facility		$67.61	$67.61	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $5,011.87	Professional		$3,235.94	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $436.52 / $933.25	Facility		$169.82	$436.52	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $549.54	Professional		$269.15	$309.03	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $363.08	Professional		$354.81	$354.81	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $812.83	Facility		$275.42	$478.63	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $602.56	Facility		$165.96	$263.03	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $380.19	Professional		$218.78	$316.23	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65