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 $707.95 / $831.76 / $1,380.38	Professional		$707.95	$831.76	$1,380.38
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 $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $3,890.45	Facility		$758.58	$1,096.48	$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 / $102.33 / $676.08	Professional		$32.36	$102.33	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,479.11	Professional		$977.24	$977.24	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Facility		$758.58	$1,023.29	$1,737.80
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 $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 $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