Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $2,691.53	Facility		$645.65	$794.33	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,380.38	Professional		$691.83	$912.01	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $2,511.89	Facility		$407.38	$645.65	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,288.25	Professional		$660.69	$870.96	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $630.96	Facility		$79.43	$616.60	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,862.09	Professional		$794.33	$1,174.90	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,365.16	Facility		$54.95	$56.23	$4,365.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,413.10 / $7,413.10	Professional		$6,456.54	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,819.70	Facility		$707.95	$1,122.02	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,621.81	Professional		$691.83	$933.25	$1,621.81
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 $1,202.26 / $1,202.26 / $1,698.24	Professional		$1,202.26	$1,202.26	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,862.09	Facility		$724.44	$1,148.15	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,819.70	Professional		$758.58	$1,148.15	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Professional		$676.08	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Professional		$891.25	$933.25	$933.25