Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,511.89 / $7,585.78	Facility		$691.83	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,288.25	Professional		$660.69	$776.25	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $630.96 / $660.69	Facility		$79.43	$630.96	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,513.56	Professional		$724.44	$954.99	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,677.35	Facility		$1,995.26	$1,995.26	$4,677.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,309.57	Professional		$5,370.32	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,047.13 / $4,073.80	Facility		$645.65	$1,047.13	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,174.90	Professional		$676.08	$870.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $2,511.89	Professional		$1,318.26	$2,344.23	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $1,584.89	Facility		$645.65	$870.96	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,513.56	Professional		$707.95	$954.99	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,230.27	Professional		$588.84	$776.25	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $691.83	Professional		$630.96	$691.83	$691.83