Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,412.54	Professional		$724.44	$912.01	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $8,317.64	Facility		$2,454.71	$4,365.16	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,288.25	Professional		$630.96	$776.25	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $707.95	Facility		$79.43	$691.83	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,905.46	Professional		$794.33	$1,148.15	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,606.93 / $6,606.93	Professional		$6,309.57	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $3,890.45	Facility		$741.31	$1,202.26	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,288.25	Professional		$724.44	$954.99	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $100.00 / $676.08	Professional		$32.36	$100.00	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Professional		$933.25	$933.25	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,949.84	Facility		$741.31	$1,096.48	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,778.28	Professional		$758.58	$1,148.15	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,445.44	Professional		$707.95	$933.25	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $741.31	Professional		$691.83	$741.31	$741.31