Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,022.64	Facility		$870.96	$3,548.13	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,380.38	Professional		$691.83	$812.83	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,912.51 / $18,197.01	Facility		$4,265.80	$8,912.51	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,230.27	Professional		$724.44	$912.01	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $707.95 / $724.44	Facility		$79.43	$707.95	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,659.59	Professional		$758.58	$1,047.13	$1,659.59
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 $5,623.41 / $6,760.83 / $6,760.83	Professional		$5,623.41	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,890.45	Facility		$741.31	$1,071.52	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,318.26	Professional		$707.95	$977.24	$1,318.26
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 $1,000.00 / $1,000.00 / $1,479.11	Professional		$1,000.00	$1,000.00	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,698.24	Facility		$741.31	$1,000.00	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,621.81	Professional		$724.44	$1,047.13	$1,621.81
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 $630.96 / $831.76 / $1,288.25	Professional		$630.96	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $758.58	Professional		$707.95	$758.58	$758.58