Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $562.34	Facility		$549.54	$549.54	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.51 / $22.91	Facility		$7.41	$8.51	$22.91
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 / $549.54	Facility		$79.43	$120.23	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $549.54 / $549.54	Facility		$524.81	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,715.19 / $10,715.19	Professional		$10,471.29	$10,715.19	$10,715.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $562.34 / $1,122.02	Facility		$141.25	$562.34	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $549.54 / $575.44	Professional		$162.18	$549.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,778.28	Professional		$741.31	$741.31	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $1,202.26	Facility		$229.09	$549.54	$1,202.26
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 / $2,691.53	Professional		$125.89	$302.00	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89