Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,290.87 / $6,918.31	Facility		$758.58	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $3,311.31	Facility		$478.63	$831.76	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,258.93	Professional		$660.69	$831.76	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $645.65	Facility		$79.43	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,584.89	Professional		$691.83	$1,000.00	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $7,079.46	Professional		$6,165.95	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $2,238.72	Facility		$602.56	$954.99	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,513.56	Professional		$676.08	$954.99	$1,513.56
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 $512.86 / $512.86 / $1,621.81	Professional		$512.86	$512.86	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,584.89	Facility		$575.44	$912.01	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,621.81	Professional		$676.08	$1,000.00	$1,621.81
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 $562.34 / $776.25 / $1,202.26	Professional		$562.34	$776.25	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Professional		$831.76	$870.96	$870.96