Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $12,022.64	Facility		$831.76	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,202.26	Professional		$616.60	$724.44	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $7,079.46	Facility		$1,905.46	$3,715.35	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,096.48	Professional		$645.65	$812.83	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $630.96 / $630.96	Facility		$79.43	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,445.44	Professional		$645.65	$891.25	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $45,708.82 / $45,708.82	Facility		$6,760.83	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional		$5,128.61	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $3,890.45	Facility		$549.54	$891.25	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,174.90	Professional		$630.96	$870.96	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,318.26	Professional		$588.84	$588.84	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,412.54	Facility		$512.86	$776.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,479.11	Professional		$602.56	$912.01	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,096.48	Professional		$501.19	$707.95	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69