Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $26,302.68	Facility		$123.03	$363.08	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $269.15	Professional		$112.20	$138.04	$269.15
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 $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $1,949.84	Professional		$1,513.56	$1,949.84	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $407.38	Facility		$123.03	$190.55	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $229.09	Professional		$114.82	$123.03	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $4,677.35 / $4,897.79	Professional		$288.40	$4,677.35	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $281.84 / $489.78	Facility		$134.90	$281.84	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $389.05	Facility		$125.89	$199.53	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $371.54	Professional		$125.89	$151.36	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58