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 $660.69 / $776.25 / $1,288.25	Professional		$660.69	$776.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $17,782.79	Facility		$4,265.80	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,148.15	Professional		$676.08	$870.96	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $691.83	Facility		$79.43	$676.08	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,548.82	Professional		$724.44	$1,000.00	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $6,456.54	Professional		$5,370.32	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,890.45	Facility		$707.95	$1,023.29	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $95.50 / $630.96	Professional		$32.36	$95.50	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,380.38	Professional		$933.25	$933.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,621.81	Facility		$707.95	$954.99	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,548.82	Professional		$676.08	$977.24	$1,548.82
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 $575.44 / $776.25 / $1,202.26	Professional		$575.44	$776.25	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $724.44	Professional		$660.69	$724.44	$724.44