Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,467.37 / $11,748.98	Facility		$794.33	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $851.14	Professional		$380.19	$524.81	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,585.78 / $14,454.40	Facility		$3,467.37	$7,585.78	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $758.58	Professional		$371.54	$512.86	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $371.54 / $371.54	Facility		$79.43	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,000.00	Professional		$407.38	$588.84	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $4,677.35	Professional		$3,981.07	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $2,691.53	Facility		$407.38	$645.65	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,047.13	Professional		$380.19	$562.34	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $346.74	Professional		$32.36	$51.29	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $977.24	Facility		$398.11	$602.56	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
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 $331.13 / $467.74 / $724.44	Professional		$331.13	$467.74	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $602.56	Professional		$562.34	$602.56	$602.56