Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $630.96	Facility		$245.47	$245.47	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $724.44	Facility		$173.78	$263.03	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,949.84 / $1,949.84	Facility		$120.23	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $245.47 / $245.47	Facility		$229.09	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $478.63	Facility		$190.55	$245.47	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $257.04	Professional		$162.18	$245.47	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $501.19	Professional		$331.13	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $489.78	Facility		$218.78	$245.47	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $269.15	Professional		$125.89	$194.98	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $245.47	Professional		$120.23	$125.89	$245.47