Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $13,803.84	Facility		$1,096.48	$4,073.80	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Professional		$870.96	$1,174.90	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $15,135.61	Facility		$4,365.16	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,584.89	Professional		$758.58	$1,096.48	$1,584.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $851.14 / $851.14	Facility		$79.43	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,290.87	Professional		$977.24	$1,412.54	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $33,884.42 / $33,884.42	Facility		$23,988.33	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $3,715.35	Facility		$933.25	$1,412.54	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,238.72	Professional		$870.96	$1,230.27	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $120.23 / $794.33	Professional		$32.36	$120.23	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,344.23	Professional		$1,348.96	$1,348.96	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,398.83	Facility		$933.25	$1,348.96	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,290.87	Professional		$954.99	$1,412.54	$2,290.87
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 $812.83 / $1,096.48 / $1,737.80	Professional		$812.83	$1,096.48	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,318.26	Professional		$1,230.27	$1,318.26	$1,318.26