Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,071.52	Professional		$549.54	$660.69	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $14,791.08	Facility		$4,265.80	$7,585.78	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $954.99	Professional		$562.34	$707.95	$954.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $524.81 / $537.03	Facility		$79.43	$524.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,348.96	Professional		$588.84	$851.14	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $3,890.45	Facility		$575.44	$870.96	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $977.24	Professional		$549.54	$724.44	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Professional		$707.95	$707.95	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,445.44	Facility		$562.34	$794.33	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,348.96	Professional		$575.44	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,023.29	Professional		$501.19	$660.69	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34