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 / $13,803.84	Facility		$1,122.02	$4,168.69	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,445.44	Professional		$758.58	$891.25	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,943.28 / $14,791.08	Facility		$4,365.16	$7,943.28	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,380.38	Professional		$776.25	$954.99	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $741.31 / $758.58	Facility		$79.43	$741.31	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,778.28	Professional		$812.83	$1,122.02	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $33,884.42 / $33,884.42	Facility		$20,892.96	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $5,248.07	Facility		$794.33	$1,174.90	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,380.38	Professional		$758.58	$1,023.29	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $724.44	Professional		$32.36	$107.15	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,584.89	Professional		$1,071.52	$1,071.52	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,862.09	Facility		$794.33	$1,047.13	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,778.28	Professional		$776.25	$1,122.02	$1,778.28
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 $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $794.33	Professional		$741.31	$794.33	$794.33