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 $676.08 / $794.33 / $1,318.26	Professional		$676.08	$794.33	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $8,709.64	Facility		$2,570.40	$4,466.84	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,174.90	Professional		$691.83	$870.96	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $676.08	Facility		$79.43	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,659.59	Professional		$741.31	$1,047.13	$1,659.59
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 $6,309.57 / $6,606.93 / $6,606.93	Professional		$6,309.57	$6,606.93	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,890.45	Facility		$707.95	$1,122.02	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,258.93	Professional		$676.08	$933.25	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $645.65	Professional		$32.36	$97.72	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $2,570.40	Professional		$1,174.90	$2,511.89	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,659.59	Facility		$707.95	$1,047.13	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,621.81	Professional		$707.95	$1,023.29	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Professional		$616.60	$812.83	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $707.95	Professional		$660.69	$707.95	$707.95