Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,548.82	Professional		$812.83	$954.99	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $15,488.17	Facility		$4,168.69	$7,413.10	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,445.44	Professional		$831.76	$1,071.52	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $812.83 / $812.83	Facility		$79.43	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,905.46	Professional		$870.96	$1,230.27	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $3,890.45	Facility		$831.76	$1,230.27	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,479.11	Professional		$812.83	$1,122.02	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $776.25	Professional		$32.36	$117.49	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,737.80	Professional		$1,071.52	$1,071.52	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,089.30	Facility		$851.14	$1,174.90	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,905.46	Professional		$851.14	$1,230.27	$1,905.46
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 $724.44 / $977.24 / $1,479.11	Professional		$724.44	$977.24	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $851.14	Professional		$794.33	$851.14	$851.14