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 / $14,125.38	Facility		$1,122.02	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,737.80	Professional		$870.96	$1,023.29	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,549.93 / $18,197.01	Facility		$4,786.30	$9,549.93	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,513.56	Professional		$891.25	$1,122.02	$1,513.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $870.96 / $891.25	Facility		$79.43	$870.96	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,317.64 / $8,317.64	Professional		$7,244.36	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $4,677.35	Facility		$933.25	$1,348.96	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,621.81	Professional		$870.96	$1,202.26	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $831.76	Professional		$32.36	$125.89	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,819.70	Professional		$1,288.25	$1,288.25	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,137.96	Facility		$933.25	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,041.74	Professional		$891.25	$1,288.25	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,584.89	Professional		$776.25	$1,047.13	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25