Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,137.96	Professional		$1,174.90	$1,380.38	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,549.93 / $18,620.87	Facility		$5,011.87	$9,549.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,089.30	Professional		$1,230.27	$1,548.82	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,230.27	Facility		$79.43	$1,202.26	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,754.23	Professional		$1,174.90	$1,698.24	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $26,915.35	Facility		$1,995.26	$1,995.26	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,481.54 / $11,481.54	Professional		$9,772.37	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $3,981.07	Facility		$891.25	$1,584.89	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,187.76	Professional		$1,202.26	$1,621.81	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $169.82 / $1,148.15	Professional		$32.36	$169.82	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,511.89	Professional		$912.01	$912.01	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,691.53	Facility		$891.25	$1,445.44	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,754.23	Professional		$1,122.02	$1,737.80	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,089.30	Professional		$891.25	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25