Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $891.25	Professional		$467.74	$562.34	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $4,265.80	Facility		$1,096.48	$2,187.76	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $870.96	Professional		$489.78	$616.60	$870.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $489.78	Facility		$79.43	$478.63	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,122.02	Professional		$524.81	$707.95	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $4,897.79	Professional		$4,168.69	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $2,089.30	Facility		$501.19	$707.95	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,071.52	Professional		$478.63	$676.08	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $426.58 / $512.86	Professional		$32.36	$426.58	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,047.13	Professional		$645.65	$645.65	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,122.02	Facility		$489.78	$660.69	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,122.02	Professional		$501.19	$707.95	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $851.14	Professional		$416.87	$549.54	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $630.96	Professional		$588.84	$630.96	$630.96