Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $14,454.40	Facility		$1,122.02	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,288.25	Professional		$660.69	$776.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,488.17	Facility		$4,265.80	$7,762.47	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,148.15	Professional		$660.69	$870.96	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $660.69	Facility		$79.43	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Professional		$707.95	$977.24	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $5,011.87	Facility		$691.83	$1,047.13	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,202.26	Professional		$660.69	$912.01	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $630.96	Professional		$32.36	$95.50	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,412.54	Professional		$891.25	$891.25	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,584.89	Facility		$691.83	$933.25	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,548.82	Professional		$691.83	$977.24	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,202.26	Professional		$588.84	$776.25	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Professional		$645.65	$691.83	$691.83