Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,890.45 / $12,882.50	Facility		$1,071.52	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,737.80	Professional		$912.01	$1,071.52	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $14,791.08	Facility		$4,265.80	$7,762.47	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,380.38	Professional		$776.25	$1,000.00	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $912.01 / $912.01	Facility		$79.43	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,137.96	Professional		$977.24	$1,380.38	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $4,365.16	Facility		$954.99	$1,380.38	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,659.59	Professional		$912.01	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $128.82 / $851.14	Professional		$32.36	$128.82	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,905.46	Professional		$1,258.93	$1,258.93	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,344.23	Facility		$954.99	$1,318.26	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,137.96	Professional		$954.99	$1,380.38	$2,137.96
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 $831.76 / $1,096.48 / $1,698.24	Professional		$831.76	$1,096.48	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Professional		$891.25	$954.99	$954.99