Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $6,918.31	Facility		$630.96	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $707.95	Professional		$223.87	$575.44	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $12,589.25	Facility		$1,148.15	$2,290.87	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $6,456.54	Professional		$5,011.87	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $977.24 / $4,073.80	Facility		$524.81	$977.24	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $602.56 / $707.95	Professional		$223.87	$602.56	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $1,318.26	Facility		$354.81	$776.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,047.13	Professional		$501.19	$660.69	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31