Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,235.94 / $7,943.28	Facility		$870.96	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,412.54	Professional		$724.44	$870.96	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $15,848.93	Facility		$2,951.21	$9,120.11	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,698.24 / $1,698.24	Facility		$758.58	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,698.24	Professional		$794.33	$1,071.52	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $28,840.32 / $28,840.32	Facility		$19,952.62	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $7,079.46	Professional		$6,025.60	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $3,715.35	Facility		$758.58	$1,071.52	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,445.44	Professional		$724.44	$1,023.29	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,818.38 / $2,951.21	Professional		$870.96	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,737.80	Facility		$758.58	$1,000.00	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,698.24	Professional		$758.58	$1,071.52	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Professional		$758.58	$812.83	$812.83