Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $467.74	Facility		$457.09	$457.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Professional		$457.09	$457.09	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $120.23 / $457.09	Facility		$79.43	$120.23	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $457.09	Facility		$436.52	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $3,981.07	Professional		$3,090.30	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $467.74 / $870.96	Facility		$141.25	$467.74	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $478.63	Professional		$158.49	$457.09	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $457.09 / $1,000.00	Facility		$213.80	$457.09	$1,000.00
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 / $302.00 / $1,659.59	Professional		$125.89	$302.00	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89