Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,019.95 / $7,413.10	Facility		$851.14	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,445.44	Professional		$630.96	$891.25	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $4,073.80	Facility		$1,174.90	$2,187.76	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $2,511.89	Professional		$707.95	$912.01	$2,511.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $741.31 / $741.31	Facility		$79.43	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,659.59	Professional		$660.69	$977.24	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $28,840.32 / $28,840.32	Facility		$5,248.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,511.89	Facility		$562.34	$1,000.00	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,737.80	Professional		$724.44	$1,047.13	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $630.96 / $812.83	Professional		$32.36	$630.96	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,737.80	Professional		$363.08	$363.08	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $1,621.81	Facility		$467.74	$933.25	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,698.24	Professional		$645.65	$1,000.00	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,174.90	Professional		$524.81	$741.31	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,000.00	Professional		$954.99	$1,000.00	$1,000.00