Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $5,370.32 / $10,715.19	Facility		$162.18	$5,370.32	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
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
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $162.18	Facility		$79.43	$120.23	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $162.18	Facility		$151.36	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $1,995.26	Professional		$1,000.00	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $302.00	Facility		$141.25	$165.96	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $229.09	Professional		$158.49	$162.18	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $54.95	Professional		$30.20	$32.36	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $245.47	Professional		$218.78	$218.78	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $398.11	Facility		$162.18	$165.96	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $173.78	Professional		$120.23	$125.89	$173.78