Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $12,882.50	Facility		$1,071.52	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,819.70	Professional		$933.25	$1,148.15	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $6,918.31	Facility		$1,047.13	$1,778.28	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,659.59	Professional		$954.99	$1,202.26	$1,659.59
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 $1,000.00 / $1,380.38 / $2,344.23	Professional		$1,000.00	$1,380.38	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $4,265.80	Facility		$954.99	$1,479.11	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,737.80	Professional		$954.99	$1,258.93	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $134.90 / $870.96	Professional		$32.36	$134.90	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,905.46	Professional		$1,096.48	$1,096.48	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,344.23	Facility		$977.24	$1,380.38	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,778.28	Professional		$831.76	$1,122.02	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $954.99	Professional		$912.01	$954.99	$954.99