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 $501.19 / $602.56 / $977.24	Professional		$501.19	$602.56	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $9,332.54	Facility		$2,754.23	$4,677.35	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $891.25	Professional		$537.03	$676.08	$891.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $524.81 / $537.03	Facility		$79.43	$524.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,202.26	Professional		$549.54	$758.58	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,011.87	Professional		$4,168.69	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $3,890.45	Facility		$537.03	$794.33	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $977.24	Professional		$512.86	$724.44	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $74.13 / $489.78	Professional		$32.36	$74.13	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,071.52	Professional		$758.58	$758.58	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $1,202.26	Facility		$524.81	$707.95	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,202.26	Professional		$524.81	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $912.01	Professional		$446.68	$588.84	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Professional		$524.81	$562.34	$562.34